Dr Marie-lesly Emmanuel, MD is a medicare enrolled "Family Medicine" physician in Lake Station, Indiana. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Northshore Health Centers Inc and her current practice location is
2490 Central Ave, Lake Station, Indiana. You can reach out to her office (for appointments etc.) via phone at
(210) 358-3888.
Dr Marie-lesly Emmanuel is licensed to practice in Indiana (license number 01094805A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891375515.
Physician's Profile
| Full Name | Dr Marie-lesly Emmanuel |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 2490 Central Ave, Lake Station, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Marie-lesly Emmanuel graduated from medical school in 2017
NPI Data:
- NPI Number: 1891375515
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799210233
- Enrollment ID: I20241121001042
Medical Identifiers
Medical identifiers for Dr Marie-lesly Emmanuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891375515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 01094805A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Northshore Health Centers Inc | 5799671236 | 29 |
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. Dr Marie-lesly Emmanuel allows following entities to bill medicare on her behalf.
| Entity Name | Northshore Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
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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. Dr Marie-lesly Emmanuel 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 Address | Practice Location Address |
Dr Marie-lesly Emmanuel, MD 1889 W Windsor Dr, Round Lake, IL 60073-9709 Ph: (224) 308-4614 | Dr Marie-lesly Emmanuel, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (210) 358-3888 |
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