| Fred Anthony Lepore Jr, | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (708) 895-9385 | |
| Not Available |
| Full Name | Fred Anthony Lepore Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 24 Joliet St, Dyer, 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 |
|---|---|---|---|
| 1013151463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036128619 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 02004195A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Anthony Lepore Jr, 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Fred Anthony Lepore Jr, 24 Joliet St, Dyer, IN 46311-1705 Ph: (708) 895-9385 |
Brett E Marcotte, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2077 Fax: 219-864-2649 | |
Joseph Gawlak, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Main St Ste 101, Dyer, IN 46311 Phone: 219-836-7531 Fax: 219-836-7593 | |
Sean A Chrystal, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Erik Frost, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 |