| Brett E Marcotte, DO | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 864-2077 | |
| (219) 864-2649 |
| Full Name | Brett E Marcotte |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 24 Joliet St, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376537068 | NPI | - | NPPES |
| 200171730 | Medicaid | IN | |
| 90001358 | Other | IL | BCBSIL |
| 036095664 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02001849A (Indiana) | Primary |
| Entity Name | App Of Indiana Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett E Marcotte, DO Po Box 1000, Dyer, IN 46311-0800 Ph: (219) 864-2107 | Brett E Marcotte, DO 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 864-2077 |
Fred Anthony Lepore Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 708-895-9385 | |
Joseph Gawlak, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Main St Ste 101, Dyer, IN 46311 Phone: 219-836-7531 Fax: 219-836-7593 | |
Sean A Chrystal, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Erik Frost, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 |