| Alison Petrovich, MD | |
|
10215 Broadway, Crown Point, IN 46307-8001 | |
| (219) 661-6152 | |
| (219) 703-6833 |
| Full Name | Alison Petrovich |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 10215 Broadway, Crown Point, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588669188 | NPI | - | NPPES |
| 200345670 | Medicaid | IN | |
| 000000721923 | Other | IN | ANTHEM TRADITIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01054379 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 219 Health Network Inc | 0547521452 | 48 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Entity Name | 219 Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Petrovich, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Alison Petrovich, MD 10215 Broadway, Crown Point, IN 46307-8001 Ph: (219) 661-6152 |
Mr. Peter K Tothy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 342 E 109th Ave, Crown Point, IN 46307 Phone: 219-310-2550 Fax: 219-310-2565 | |
Dr. Rani John Puthenveetil, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway, Crown Point, IN 46307 Phone: 219-662-5000 | |
Boris Sagalovsky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496 | |
Sampanta Boonjarern, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 297 Franciscan Dr, Crown Point, IN 46307 Phone: 219-622-1718 | |
Mohamed Farhat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 S Main St, Suite 301, Crown Point, IN 46307 Phone: 219-661-1640 Fax: 219-661-8066 | |
Dr. Arnolfo B Elman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-681-6867 | |
Arnold Michael Kemp, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |