| Jillian Ditusa, PA-C | |
|
9900 Columbia Ave, Munster, IN 46321-4008 | |
| (219) 924-3300 | |
| Not Available |
| Full Name | Jillian Ditusa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 9900 Columbia Ave, Munster, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528947876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Powers Health Rehabilitation Center | Crown point, IN | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Specialists Of Northwest Indiana Pc | 5092788901 | 18 |
| Community Care Network Inc | 3678737012 | 378 |
| Entity Name | Orthopaedic Specialists of Northwest Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497865794 PECOS PAC ID: 5092788901 Enrollment ID: O20040818000914 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Ditusa, PA-C 9900 Columbia Ave, Munster, IN 46321-4008 Ph: (219) 924-3300 | Jillian Ditusa, PA-C 9900 Columbia Ave, Munster, IN 46321-4008 Ph: (219) 924-3300 |
Stefani Tica, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9200 Calumet Ave # 203, Munster, IN 46321 Phone: 219-228-4200 |
Darcy Winston, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |
Danielle Dominique Romero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 |
Amy Berghoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 219-924-3300 Fax: 219-934-2658 |
Michael A Krzyskowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 121-992-4330 Fax: 219-934-2658 |
Allyson Caisley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 |
Reeya Brahmbhatt, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-922-4200 |