| Ocean Wounds in LLC | |
|
110 Beverly Dr Chesterton IN 46304-9368 | |
| (347) 829-6863 | |
| Not Available |
| Full Name | Ocean Wounds in LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Beverly Dr, Chesterton, Indiana |
| Authorized Official Name and Position | Elysse Lerner (OWNER) |
| Authorized Official Contact | 8459017289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Wounds in LLC 144 Coles Way Lakewood NJ 08701-4885 | Ocean Wounds in LLC 110 Beverly Dr Chesterton IN 46304-9368 Ph: (347) 829-6863 |
| NPI Number | 1528920980 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Medicare PECOS PAC ID | 2365937968 |
|---|---|
| Medicare Enrollment ID | O20251222000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528920980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | James Daniel Isenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003281627 PECOS PAC ID: 9638471816 Enrollment ID: I20251222000241 |
| Provider Name | Elysse Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373721 PECOS PAC ID: 3779867395 Enrollment ID: I20251222000389 |
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