| Roland Lincoln Thomas, MD | |
|
85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 | |
| (219) 983-6240 | |
| (219) 983-6040 |
| Full Name | Roland Lincoln Thomas |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Critical Care |
| Location | 85 E Us Highway 6 Ste 240, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356346027 | NPI | - | NPPES |
| 000000082453 | Other | IN | ANTHEM |
| 100424620 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 01042586A (Indiana) | Primary |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Lincoln Thomas, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Roland Lincoln Thomas, MD 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 Ph: (219) 983-6240 |
Daniel Owen Young, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 Phone: 219-983-6240 Fax: 219-983-6040 | |
Dr. William F. Nowlin Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Roosevelt Pl, Valparaiso, IN 46383 Phone: 219-464-2218 Fax: 219-477-4131 | |
Daniel R Cozadd, DO Surgery Medicare: Medicare Enrolled Practice Location: 1501 Lake Superior Rd Apt 105, Valparaiso, IN 46383 Phone: 248-459-0263 | |
Michael Allen Nemeth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 Phone: 219-983-6240 Fax: 219-983-6040 | |
Jac Alan Cooper Sr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 Phone: 219-983-6240 Fax: 219-983-6040 |