| Dr Mark Thomas Nootens, MD | |
|
931 Fran Lin Pkwy, Munster, IN 46321-3540 | |
| (219) 513-0107 | |
| (219) 513-0108 |
| Full Name | Dr Mark Thomas Nootens |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 37 Years |
| Location | 931 Fran Lin Pkwy, Munster, 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 |
|---|---|---|---|
| 1568491975 | NPI | - | NPPES |
| 060070754 | Other | IN | RR MEDICARE PROVIDER # |
| 303467487 | Medicaid | IL | |
| 000000243924 | Other | IN | ANTHEM PROVIDER # |
| 200043060B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01042703 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center West Branch | 7214251081 | 70 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Mymichigan Medical Center West Branch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Thomas Nootens, MD 14125 Huseman St, Cedar Lake, IN 46303-9316 Ph: (219) 781-3191 | Dr Mark Thomas Nootens, MD 931 Fran Lin Pkwy, Munster, IN 46321-3540 Ph: (219) 513-0107 |
Maali Milhem, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-703-2408 Fax: 219-703-6684 | |
Sahar Halabi, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 761 45th St Ste 108, Munster, IN 46321 Phone: 219-922-5416 Fax: 219-922-3745 | |
Wassim Shwaiki, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave Ste 203, Munster, IN 46321 Phone: 219-836-7723 Fax: 219-836-7726 | |
Thottathil Viswanathan Gopan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Ammar Hassan, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9410 Calumet Ave Ste 401, Munster, IN 46321 Phone: 219-922-4900 Fax: 219-836-9922 | |
Dr. Kyle Kleist, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Gene Lee Chang, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9030 Columbia Ave, Munster, IN 46321 Phone: 219-836-6002 Fax: 219-836-6003 |