Great Lakes Orthopedics & Sports Medicine, Pc - Medicare in Saint John, IN

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Great Lakes Orthopedics & Sports Medicine, Pc is a medicare enrolled "Orthopaedic Surgery" provider in Saint John, Indiana. Their current practice location is 9615 Keilman St, Saint John, Indiana. You can reach out to their office (for appointments etc.) via phone at (219) 365-0220.

Great Lakes Orthopedics & Sports Medicine, Pc is licensed to practice in Indiana (license number 02002102) and it also participates in the medicare program. Great Lakes Orthopedics & Sports Medicine, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1669472270.

Contact Information

Great Lakes Orthopedics & Sports Medicine, Pc
9615 Keilman St,
Saint John, IN 46373-9406
(219) 365-0220
(219) 365-0226

Map and Direction




Healthcare Provider's Profile

Full NameGreat Lakes Orthopedics & Sports Medicine, Pc
TypeFacility
SpecialityOrthopaedic Surgery
Location9615 Keilman St, Saint John, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669472270
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062306384
  • Enrollment ID: O20040209001009

Medical Identifiers

Medical identifiers for Great Lakes Orthopedics & Sports Medicine, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669472270NPI-NPPES
DC2442OtherINRAILROAD MEDICARE
90001186OtherILBC/BS IL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 07001187A (Indiana)Secondary
207X00000XOrthopaedic Surgery 02002102 (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Great Lakes Orthopedics & Sports Medicine, Pc acts as a billing entity for following providers:
Provider NameKeith R Pitchford
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568462729
PECOS PAC ID: 1254225584
Enrollment ID: I20040618000124
Provider NameNatasha Mandula
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1851682561
PECOS PAC ID: 9335366376
Enrollment ID: I20140814001343
Provider NameKristen M Giacomin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952950560
PECOS PAC ID: 7618207903
Enrollment ID: I20190930002658
Provider NameCurt Martini
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1427583756
PECOS PAC ID: 5496173924
Enrollment ID: I20210510000999

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Great Lakes Orthopedics & Sports Medicine, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Great Lakes Orthopedics & Sports Medicine, Pc
9615 Keilman St,
Saint John, IN 46373-9406

Ph: (219) 365-0220		Great Lakes Orthopedics & Sports Medicine, Pc
9615 Keilman St,
Saint John, IN 46373-9406

Ph: (219) 365-0220

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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