Douglas Adolph Mazurek, MD in Valparaiso, IN - Medicare Critical Care (intensivists)

Douglas Adolph Mazurek, MD is a medicare enrolled "Specialist" physician in Valparaiso, Indiana. He went to Northwestern University Feinberg Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Porter Physician Services Llc and his current practice location is 1101 Glendale Blvd, Suite 103, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 464-9054.

Douglas Adolph Mazurek is licensed to practice in Indiana (license number 01038566A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033223235.

Contact Information

	Douglas Adolph Mazurek, MD
	1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767
	(219) 464-9054
	(219) 465-1749

Map and Direction

Physician's Profile

Full Name	Douglas Adolph Mazurek
Gender	Male
Speciality	Critical Care (intensivists)
Experience	35 Years
Location	1101 Glendale Blvd, Valparaiso, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Adolph Mazurek attended and graduated from Northwestern University Feinberg Medical School in 1989

NPI Data:

NPI Number: 1033223235
Provider Enumeration Date: 08/18/2006
Last Update Date: 09/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7012953383
Enrollment ID: I20081120000417

Medical Identifiers

Medical identifiers for Douglas Adolph Mazurek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033223235	NPI	-	NPPES
200016720	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	01038566 (Indiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	01038566 (Indiana)	Secondary
174400000X	Specialist	01038566A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Health - Porter	Valparaiso, IN	Hospital
Valparaiso Care & Rehabilitation	Valparaiso, IN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Porter Physician Services Llc	1850482407	91

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Adolph Mazurek allows following entities to bill medicare on his behalf.

Entity Name	Porter Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Adolph Mazurek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Douglas Adolph Mazurek, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616	Douglas Adolph Mazurek, MD 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 Ph: (219) 464-9054

Douglas Adolph Mazurek, MD - Medicare Critical Care (intensivists) in Valparaiso, IN