| Dr Jeffrey John Quackenbush, MD | |
|
54 Roosevelt Rd, Valparaiso, IN 46383-5845 | |
| (219) 462-8246 | |
| (219) 462-7902 |
| Full Name | Dr Jeffrey John Quackenbush |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 29 Years |
| Location | 54 Roosevelt Rd, Valparaiso, 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 |
|---|---|---|---|
| 1639151921 | NPI | - | NPPES |
| 000000228984 | Other | IN | ANTHEMBCBS |
| 200371010A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01055750A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Entity Name | Northern Indiana Oncology Center Of Porter Memorial Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953043 PECOS PAC ID: 3476451576 Enrollment ID: O20031229000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey John Quackenbush, MD Dept 6064, Carol Street, IL 60122 Ph: (219) 462-8246 | Dr Jeffrey John Quackenbush, MD 54 Roosevelt Rd, Valparaiso, IN 46383-5845 Ph: (219) 462-8246 |
Dr. Esther H. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 E Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
Omar Jason Barakat, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Department Of Radiology, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
Jeffrey M. Huth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 E Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
Anil Kothari, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 825 E Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
Amjad Alkadri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
James M Forde, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 E Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 | |
Maximo V. Bleza, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 E Lincolnway, Valparaiso, IN 46383 Phone: 219-464-4891 Fax: 219-464-1873 |