Northwest Indiana Podiatry Clinic, Llc is a
Assistant, Podiatric based in Merrillville, Indiana. Northwest Indiana Podiatry Clinic, Llc is licensed to practice in Indiana (license number ) and their current practice location is
7250 Arthur Blvd, Merrillville, Indiana. It can be reached at their office (for appointments etc.) via phone at
(219) 736-2900.
NPI number for Northwest Indiana Podiatry Clinic, Llc is 1922204106 and their current mailing address is 9933 S Western Ave, Suite 102, Chicago, Illinois. Northwest Indiana Podiatry Clinic, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922204106.
Healthcare Provider's Profile
| Full Name | Northwest Indiana Podiatry Clinic, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Assistant, Podiatric |
|---|
| Location | 7250 Arthur Blvd, Merrillville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922204106
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Northwest Indiana Podiatry Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922204106 | NPI | - | NPPES |
| 5007670004 | Other | IN | DMEPOS |
| 90001145 | Other | IN | BCBS OF IL # FOR IND |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (Indiana) | Primary |
| 213EP0504X | Podiatrist - Public Medicine | (Indiana) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | (Indiana) | Primary |
| 213ER0200X | Podiatrist - Radiology | (Indiana) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Indiana) | Primary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (Indiana) | Primary |
| 211D00000X | Assistant, Podiatric | (Indiana) | Primary |
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. Northwest Indiana Podiatry Clinic, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northwest Indiana Podiatry Clinic, Llc
9933 S Western Ave, Suite 102,
Chicago, IL 60643-1810
Ph: (773) 233-3800 | Northwest Indiana Podiatry Clinic, Llc
7250 Arthur Blvd,
Merrillville, IN 46410-3766
Ph: (219) 736-2900 |
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