| Dustin T Simcoe, | |
|
401 Newporte Blvd, La Porte, IN 46350-4099 | |
| (219) 575-6244 | |
| (219) 380-0757 |
| Full Name | Dustin T Simcoe |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 401 Newporte Blvd, La Porte, 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 |
|---|---|---|---|
| 1295108942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001987A (Indiana) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Porte Clinic Company Llc | 0446558357 | 59 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin T Simcoe, 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004 | Dustin T Simcoe, 401 Newporte Blvd, La Porte, IN 46350-4099 Ph: (219) 575-6244 |
Max Edward Doyle, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1331 State St, La Porte, IN 46350 Phone: 219-326-1234 | |
Mackenzie Jacquelyn Accorsi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 304 Detroit St, La Porte, IN 46350 Phone: 219-325-3770 Fax: 219-325-8181 |