| Brian Thomas Damitz, DPM | |
|
601 Gateway Blvd N, Chesterton, IN 46304-9658 | |
| (219) 921-1444 | |
| (219) 921-0533 |
| Full Name | Brian Thomas Damitz |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 601 Gateway Blvd N, Chesterton, 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 |
|---|---|---|---|
| 1033420534 | NPI | - | NPPES |
| 300011145 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07001184A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Bone And Joint Institute, Pc | 3173500519 | 75 |
| Provider Name | Lakeshore Bone & Joint Institute, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Thomas Damitz, DPM 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 | Brian Thomas Damitz, DPM 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 |
Lakeshore Bone & Joint Institute, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway N Blvd, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Dr. Daniela Matijevich, DPM,MS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 | |
Marc S Bruell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Dr. April C Leddell-hughes, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 106 Jeffrey St, Chesterton, IN 46304 Phone: 219-939-5078 | |
Aaron K Ruter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Dr. Hassan Usmani, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |