| Dr Andrew House, MD | |
|
10215 Broadway Ste 204, Crown Point, IN 46307-8001 | |
| (219) 661-6152 | |
| (219) 703-6833 |
| Full Name | Dr Andrew House |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10215 Broadway Ste 204, 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 |
|---|---|---|---|
| 1528521697 | NPI | - | NPPES |
| 300064777 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01087931A (Indiana) | Primary |
| 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 |
| 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 | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| 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 |
|---|---|
| Dr Andrew House, MD 10215 Broadway Ste 204, Crown Point, IN 46307-8001 Ph: (219) 661-6152 | Dr Andrew House, MD 10215 Broadway Ste 204, Crown Point, IN 46307-8001 Ph: (219) 661-6152 |
Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198 | |
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610 | |
Angelica M. Lacefield, MSN, APRN, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 | |
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312 | |
Erika Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Julie Ann Derosa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10090 Georgia Street, Suite #3, Crown Point, IN 46307 Phone: 219-472-4077 Fax: 219-267-1720 |