Darlene Sekerez, MD - Medicare Pediatrics in Crown Point, IN

Darlene Sekerez, MD is a medicare enrolled "Pediatrics" physician in Crown Point, Indiana. Her current practice location is 9470 Broadway, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 661-3260.

Darlene Sekerez is licensed to practice in Indiana (license number 01039731A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164550117.

Contact Information

Darlene Sekerez, MD
9470 Broadway,
Crown Point, IN 46307-5722
(219) 661-3260
(219) 662-3770

Map and Direction




Physician's Profile

Full NameDarlene Sekerez
GenderFemale
SpecialityPediatrics
Location9470 Broadway, Crown Point, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164550117
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 09/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224205158
  • Enrollment ID: I20120118000299

Medical Identifiers

Medical identifiers for Darlene Sekerez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164550117NPI-NPPES
200023820MedicaidIN
000000721929OtherINANTHEM TRADITIONAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01039731A (Indiana)Primary

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. Darlene Sekerez allows following entities to bill medicare on her behalf.
Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486

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. Darlene Sekerez 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 AddressPractice Location Address
Darlene Sekerez, MD
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Darlene Sekerez, MD
9470 Broadway,
Crown Point, IN 46307-5722

Ph: (219) 661-3260

Reviews and Comments


Pediatrics Doctors in Crown Point, IN

Dr. Lisa Camille Gold, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973
Destiny Harrell-washington, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9470 Broadway, Crown Point, IN 46307
Phone: 219-661-3260    Fax: 219-662-3770
Wambui Waruingi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1201 S Main St, Crown Point, IN 46307
Phone: 219-738-2100    Fax: 219-681-6871
Dr. Melanie Carol Harris, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11161 Randolph St, Crown Point, IN 46307
Phone: 219-662-9424    Fax: 219-662-7465
Anisha Ashwin Amin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973
Silvia Beatriz Vicente, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.