| Jorge Medina, MD | |
|
4500 W 181st Ave, Lowell, IN 46356-0017 | |
| (219) 690-2016 | |
| (219) 690-1862 |
| Full Name | Jorge Medina |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 4500 W 181st Ave, Lowell, 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 |
|---|---|---|---|
| 1194762054 | NPI | - | NPPES |
| 200825470 | Medicaid | IN | |
| 000000722508 | Other | IN | ANTHEM TRADITIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01061849A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Home Care | Hammond, IN | Home health agency |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Medina, MD Po Box 781076, Detroit, MI 48278-7241 Ph: (317) 528-4800 | Jorge Medina, MD 4500 W 181st Ave, Lowell, IN 46356-0017 Ph: (219) 690-2016 |
Dr. Mohammad Samir Al-kharrat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17648 Morse St, Lowell, IN 46356 Phone: 219-696-6258 Fax: 219-696-6292 | |
Dr. Randall Lee Hile, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1020 E Commercial Ave, Lowell, IN 46356 Phone: 219-696-3052 Fax: 219-696-4629 |