Douglas Adolph Mazurek, MD - Medicare Critical Care (intensivists) in Valparaiso, IN

Douglas Adolph Mazurek, MD is a medicare enrolled "Specialist" physician in Valparaiso, Indiana. He went to Northwestern University Feinberg Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Porter Physician Services Llc and his current practice location is 1101 Glendale Blvd, Suite 103, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 464-9054.

Douglas Adolph Mazurek is licensed to practice in Indiana (license number 01038566A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033223235.

Contact Information

Douglas Adolph Mazurek, MD
1101 Glendale Blvd, Suite 103,
Valparaiso, IN 46383-3767
(219) 464-9054
(219) 465-1749



Physician's Profile

Full NameDouglas Adolph Mazurek
GenderMale
SpecialityCritical Care (intensivists)
Experience35 Years
Location1101 Glendale Blvd, Valparaiso, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Adolph Mazurek attended and graduated from Northwestern University Feinberg Medical School in 1989
  NPI Data:
  • NPI Number: 1033223235
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 09/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012953383
  • Enrollment ID: I20081120000417

Medical Identifiers

Medical identifiers for Douglas Adolph Mazurek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033223235NPI-NPPES
200016720MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 01038566 (Indiana)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 01038566 (Indiana)Secondary
174400000XSpecialist 01038566A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Health - PorterValparaiso, INHospital
Valparaiso Care & RehabilitationValparaiso, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Porter Physician Services Llc185048240791

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Adolph Mazurek allows following entities to bill medicare on his behalf.
Entity NamePorter Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409

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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. Douglas Adolph Mazurek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Adolph Mazurek, MD
2022 Kelle Dr,
Chesterton, IN 46304-8708

Ph: (219) 364-3616
Douglas Adolph Mazurek, MD
1101 Glendale Blvd, Suite 103,
Valparaiso, IN 46383-3767

Ph: (219) 464-9054

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