| Dr Clinton Herwin Scott Jr, DPM | |
|
720 W 5th Ave, Gary, IN 46402-1808 | |
| (609) 440-8714 | |
| (269) 469-9240 |
| Full Name | Dr Clinton Herwin Scott Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 26 Years |
| Location | 720 W 5th Ave, Gary, 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 |
|---|---|---|---|
| 1750360137 | NPI | - | NPPES |
| 000000339432 | Other | IN | ANTHEM |
| 200305000 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000990A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Provider Name | Scott Medinvestment Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487813580 PECOS PAC ID: 2961698196 Enrollment ID: O20101130000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Herwin Scott Jr, DPM 3903 Portage Rd, Suite C #161, South Bend, IN 46628-4431 Ph: (609) 440-8714 | Dr Clinton Herwin Scott Jr, DPM 720 W 5th Ave, Gary, IN 46402-1808 Ph: (609) 440-8714 |
Broadway Foot Clinic Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3290 Grant St, Suite 108, Gary, IN 46408 Phone: 219-884-7880 Fax: 219-884-7880 | |
Lashawn Freeman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St, Suite 4, Gary, IN 46404 Phone: 219-882-2000 Fax: 219-881-2836 | |
Scott Medinvestment Group, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 720 W 5th Ave, Gary, IN 46402 Phone: 609-440-8714 | |
Lashawn D Freeman Dpm Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, #4, Gary, IN 46404 Phone: 219-882-2000 Fax: 219-882-2044 |