| Family Medicine Of Merrillville, Pc | |
|
3903 E Lincoln Hwy Merrillville IN 46410-5810 | |
| (219) 736-0900 | |
| (219) 769-5803 |
| Full Name | Family Medicine Of Merrillville, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3903 E Lincoln Hwy, Merrillville, Indiana |
| Authorized Official Name and Position | Yaser Alobeid (OWNER) |
| Authorized Official Contact | 2197691670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Merrillville, Pc 3903 E Lincoln Hwy Merrillville IN 46410-5810 Ph: (219) 736-0900 | Family Medicine Of Merrillville, Pc 3903 E Lincoln Hwy Merrillville IN 46410-5810 Ph: (219) 736-0900 |
| NPI Number | 1194772285 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618079831 |
|---|---|
| Medicare Enrollment ID | O20070219000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194772285 | NPI | - | NPPES |
| 237650A | Other | IN | MEDICARE PTAN |
| 200828160 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01058415 (Indiana) | Primary |
| Provider Name | Yaser Alobeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396792461 PECOS PAC ID: 1951376516 Enrollment ID: I20040827000957 |
| Provider Name | Peter Luke Bochniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356052617 PECOS PAC ID: 5193184414 Enrollment ID: I20230705002762 |
| Provider Name | Weronika Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851058085 PECOS PAC ID: 9830535145 Enrollment ID: I20240308002603 |
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