| David Vanderlugt, MD | |
|
3988 W State Road 10, Wheatfield, IN 46392-9251 | |
| (219) 987-3581 | |
| (219) 987-7137 |
| Full Name | David Vanderlugt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 3988 W State Road 10, Wheatfield, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265467476 | NPI | - | NPPES |
| 100086440A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01038324A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Home Care | Hammond, IN | Home health agency |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Oak Grove Christian Retirement Village | Demotte, IN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Physician Services Llc | 1850482407 | 88 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| David Vanderlugt, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | David Vanderlugt, MD 3988 W State Road 10, Wheatfield, IN 46392-9251 Ph: (219) 987-3581 |
Dr. Thomas J Carter, DO, PHD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3988 W State Road 10, Wheatfield, IN 46392 Phone: 219-987-3581 Fax: 219-987-7137 |