Gary City Urgent And Immediate Care Llc - Medicare Primary Care in Gary, IN

Gary City Urgent And Immediate Care Llc is a medicare enrolled primary clinic (Family Medicine) in Gary, Indiana. The current practice location for Gary City Urgent And Immediate Care Llc is 1701 Broadway, Gary, Indiana. For appointments, you can reach them via phone at (219) 882-0980. The mailing address for Gary City Urgent And Immediate Care Llc is 1701 Broadway, Gary, Indiana and phone number is (219) 882-0980.

Gary City Urgent And Immediate Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164033676. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 882-0980.

Contact Information

Gary City Urgent And Immediate Care Llc
1701 Broadway
Gary
IN 46407-2238
(219) 882-0980
Not Available

Primary Care Clinic Profile

Full NameGary City Urgent And Immediate Care Llc
SpecialityFamily Medicine
Location1701 Broadway, Gary, Indiana
Authorized Official Name and PositionPaul Okolocha (OWNER)
Authorized Official Contact2198820980
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary City Urgent And Immediate Care Llc
1701 Broadway
Gary
IN 46407-2238

Ph: (219) 882-0980
Gary City Urgent And Immediate Care Llc
1701 Broadway
Gary
IN 46407-2238

Ph: (219) 882-0980

NPI Details:

NPI Number1164033676
Provider Enumeration Date08/10/2020
Last Update Date02/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1052723483
Medicare Enrollment IDO20201209001114

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Medical Identifiers

Medical identifiers for Gary City Urgent And Immediate Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164033676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gary City Urgent And Immediate Care Llc acts as a billing entity for following providers:
Provider NamePaul C Okolocha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629193321
PECOS PAC ID: 2860421104
Enrollment ID: I20100522000064

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Provider NameSandra Renee Gates Manna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124396072
PECOS PAC ID: 0749431203
Enrollment ID: I20121108000643

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Provider NameHanifa Waarith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205426723
PECOS PAC ID: 4789099052
Enrollment ID: I20210218001629

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