| Kenneth Polezoes, MD | |
|
7310 W Lincoln Hwy, Crown Point, IN 46307-9528 | |
| (219) 322-4637 | |
| (219) 322-5298 |
| Full Name | Kenneth Polezoes |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 7310 W Lincoln Hwy, Crown Point, 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 |
|---|---|---|---|
| 1366891996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01082274A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01082274A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| 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 |
|---|---|
| Kenneth Polezoes, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Kenneth Polezoes, MD 7310 W Lincoln Hwy, Crown Point, IN 46307-9528 Ph: (219) 322-4637 |
Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198 | |
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610 | |
Angelica M. Lacefield, MSN, APRN, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 | |
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312 | |
Erika Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Julie Ann Derosa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10090 Georgia Street, Suite #3, Crown Point, IN 46307 Phone: 219-472-4077 Fax: 219-267-1720 |