| Villagemd Indiana, Pc | |
|
6097 Broadway Merrillville IN 46410-2619 | |
| (888) 975-1055 | |
| (713) 647-0307 |
| Full Name | Villagemd Indiana, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6097 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Kristi I Lee (SENIOR DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8889751055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villagemd Indiana, Pc 125 S Clark St Ste 900 Chicago IL 60603-5200 Ph: (502) 905-7170 | Villagemd Indiana, Pc 6097 Broadway Merrillville IN 46410-2619 Ph: (888) 975-1055 |
| NPI Number | 1336676923 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 06/10/2021 |
| Medicare PECOS PAC ID | 3476813544 |
|---|---|
| Medicare Enrollment ID | O20180209001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336676923 | NPI | - | NPPES |
| Provider Name | Arthur Francis Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861474116 PECOS PAC ID: 5890773675 Enrollment ID: I20040708001161 |
| Provider Name | Kamaljeet S Girn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396859641 PECOS PAC ID: 2668421710 Enrollment ID: I20050117000128 |
| Provider Name | Bethany L Mcdaniel-vanderzwaag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178650 PECOS PAC ID: 8325090210 Enrollment ID: I20050218000687 |
| Provider Name | Louis A Miceli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679578272 PECOS PAC ID: 4880606334 Enrollment ID: I20060626000345 |
| Provider Name | Marne J Juestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245274935 PECOS PAC ID: 2365544079 Enrollment ID: I20070227000636 |
| Provider Name | Cheryl Anthony Worix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528028693 PECOS PAC ID: 7911032255 Enrollment ID: I20100311001017 |
| Provider Name | Tonia S Amaloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598996589 PECOS PAC ID: 9335278928 Enrollment ID: I20100519000708 |
| Provider Name | Shahid Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154314722 PECOS PAC ID: 9032248620 Enrollment ID: I20100519000739 |
| Provider Name | Chiedu J Nchekwube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790871341 PECOS PAC ID: 5294717609 Enrollment ID: I20111221000552 |
| Provider Name | Tanya Reeves Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427106921 PECOS PAC ID: 6103877758 Enrollment ID: I20140730002147 |
| Provider Name | Justyna E Pomiotlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629475546 PECOS PAC ID: 5698094621 Enrollment ID: I20150424001311 |
| Provider Name | Krishn Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346440989 PECOS PAC ID: 1951497411 Enrollment ID: I20150910002180 |
| Provider Name | Sheilah Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983833 PECOS PAC ID: 6002135928 Enrollment ID: I20160122001057 |
| Provider Name | Denise C King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245775766 PECOS PAC ID: 9133403389 Enrollment ID: I20170307001294 |
| Provider Name | Clive K Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20170726004165 |
| Provider Name | Ryan S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836884 PECOS PAC ID: 7315218757 Enrollment ID: I20170803002442 |
| Provider Name | Dawn Marie Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033639679 PECOS PAC ID: 6901170273 Enrollment ID: I20170926000531 |
| Provider Name | Rachael L Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972084317 PECOS PAC ID: 8325390800 Enrollment ID: I20181010003835 |
| Provider Name | Stacy Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225510951 PECOS PAC ID: 1153668181 Enrollment ID: I20190129000650 |
| Provider Name | Michelle Marie Dicostanzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053764936 PECOS PAC ID: 7810281540 Enrollment ID: I20190727000249 |
| Provider Name | Karen J Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463502 PECOS PAC ID: 5698042489 Enrollment ID: I20210806000257 |
| Provider Name | Diane Trkulja-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689109084 PECOS PAC ID: 5092105973 Enrollment ID: I20211208001886 |
| Provider Name | Sylvia Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471083 PECOS PAC ID: 4082047311 Enrollment ID: I20211215001619 |
| Provider Name | Shawn Marie Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528795325 PECOS PAC ID: 0547644247 Enrollment ID: I20220830001388 |
Uwc- Merrillville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W 81st Ave Ste A, Merrillville, IN 46410 Phone: 312-421-1016 Fax: 219-255-9588 | |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Northshore Merrillville Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6091 Broadway, Merrillville, IN 46410 Phone: 219-763-8944 Fax: 219-764-5395 | |
Proactive Md Merrillville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 E 84th Dr, Merrillville, IN 46410 Phone: 812-645-1892 | |
Northshore Regional Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8812 Fax: 219-764-3251 | |
Northshore Regional Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8112 Fax: 219-764-3251 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |