| Deepika Kakkera, MD | |
|
1201 S Main St, Crown Point, IN 46307-8481 | |
| (219) 757-5887 | |
| (219) 757-6481 |
| Full Name | Deepika Kakkera |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1201 S Main St, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508853102 | NPI | - | NPPES |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 000000906352 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200319850 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01053443A (Indiana) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01053443A (Indiana) | Primary |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepika Kakkera, MD Po Box 1000, Dyer, IN 46311-0800 Ph: (219) 864-2107 | Deepika Kakkera, MD 1201 S Main St, Crown Point, IN 46307-8481 Ph: (219) 757-5887 |
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 | |
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 | |
Darlene Sekerez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Po Box 903, Crown Point, IN 46308 Phone: 219-746-1818 | |
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 | |
Amberly Brewer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 S Court St, Suite 101, Crown Point, IN 46307 Phone: 219-757-6495 Fax: 219-757-6481 |