Dr Jason Michael Petrungaro, MD | |
800 Macarthur Blvd, Suite 21, Munster, IN 46321-2917 | |
(219) 836-1163 | |
(844) 270-6677 |
Full Name | Dr Jason Michael Petrungaro |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 800 Macarthur Blvd, Munster, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871765057 | NPI | - | NPPES |
8DT481 | Other | TX | BLUE CROSS BLUE SHIELD |
MEDICARE | Other | IN | IN2244001 |
P01602561 | Other | IN | RR MEDICARE |
0914915 | Other | IN | BCBS IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | N9993 (Texas) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 01074460A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Michael Petrungaro, MD 800 Macarthur Blvd, Suite 21, Munster, IN 46321-2917 Ph: (219) 836-1163 | Dr Jason Michael Petrungaro, MD 800 Macarthur Blvd, Suite 21, Munster, IN 46321-2917 Ph: (219) 836-1163 |
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Raquel Elisa Redondo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9800 Fax: 219-924-8831 | |
Dr. Devendra Desai, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Kayla Marie Kralovec, NP Surgery Medicare: Medicare Enrolled Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9852 Fax: 219-836-7593 | |
Dr. Teoman R Demir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Creighton M Rawlings, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Dr. Russell W Pellar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Anne Therese Dempsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr., Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 |