| Dr. Erin Vicari, Pc | |
|
166 S West St Crown Point IN 46307-3906 | |
| (219) 577-5643 | |
| Not Available |
| Full Name | Dr. Erin Vicari, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 166 S West St, Crown Point, Indiana |
| Authorized Official Name and Position | Erin Vicari (PHYSICIAN) |
| Authorized Official Contact | 2195775643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Erin Vicari, Pc 166 S West St Crown Point IN 46307-3906 Ph: (219) 577-5643 | Dr. Erin Vicari, Pc 166 S West St Crown Point IN 46307-3906 Ph: (219) 577-5643 |
| NPI Number | 1770935355 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
| Medicare PECOS PAC ID | 2769776038 |
|---|---|
| Medicare Enrollment ID | O20160809002131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770935355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Erin M Vicari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134143019 PECOS PAC ID: 9739188715 Enrollment ID: I20061221000092 |
| Provider Name | Angela M Vanderberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093019994 PECOS PAC ID: 0547441917 Enrollment ID: I20110218000567 |
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