| Dr Marylyn A Rosencranz, DO | |
|
5363 Commerce Dr, Crown Point, IN 46307-5325 | |
| (219) 769-5000 | |
| (574) 273-1137 |
| Full Name | Dr Marylyn A Rosencranz |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5363 Commerce Dr, 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 |
|---|---|---|---|
| 1811981970 | NPI | - | NPPES |
| 200288940 | Medicaid | IN | |
| P00719157 | Other | IN | RAIL ROAD CARE |
| 000000576548 | Other | IN | ANTHEM |
| 036064791 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 02001008 (Indiana) | Primary |
| Entity Name | Northshore Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
| Entity Name | Ludag Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336195353 PECOS PAC ID: 3779516703 Enrollment ID: O20050912000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marylyn A Rosencranz, DO 5363 Commerce Dr, Crown Point, IN 46307-5325 Ph: (219) 769-5000 | Dr Marylyn A Rosencranz, DO 5363 Commerce Dr, Crown Point, IN 46307-5325 Ph: (219) 769-5000 |
Matthew J Evon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Hee Seork Kim, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Heratch O Doumanian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Mohammed A Abbas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Allan W Cass, MD Radiology Medicare: Medicare Enrolled Practice Location: 10855 Virginia St, Crown Point, IN 46307 Phone: 888-824-0200 | |
Randolph Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Jose R Labayo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 |