| Mr Michael Alan Polich, NP | |
|
1532 Calumet Ave, Dyer, IN 46311-1588 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Mr Michael Alan Polich |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 1532 Calumet Ave, Dyer, 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 |
|---|---|---|---|
| 1871675637 | NPI | - | NPPES |
| 200324200 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71001158A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Hospital | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Disease Specialists Pc | 4981691862 | 10 |
| Cnp Operating Co Llc | 8325263734 | 71 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Entity Name | Infectious Disease Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245217215 PECOS PAC ID: 4981691862 Enrollment ID: O20040430000920 |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240508003277 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Alan Polich, NP Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Mr Michael Alan Polich, NP 1532 Calumet Ave, Dyer, IN 46311-1588 Ph: (872) 231-3162 |
Angela M Purcell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Joliet St, Dyer, IN 46311 Phone: 219-440-7340 | |
Mrs. Milica Ivanov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Calumet Ave, Dyer, IN 46311 Phone: 219-515-4700 | |
Lady Margarette Tan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1462 Knighthood Dr, Dyer, IN 46311 Phone: 508-542-5129 | |
Scott T Fairhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Jaclyn Gale Seremet, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 Richard Rd Ste 2, Dyer, IN 46311 Phone: 219-322-1450 Fax: 219-322-8260 | |
Lisa O'keefe, R.N., A.G.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 | |
Mrs. Isabelle Marie Skurka, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 |