Immanuel Family Health Center - Medicare Primary Care in East Chicago, IN

Immanuel Family Health Center is a medicare enrolled primary clinic (Clinic/center - Primary Care) in East Chicago, Indiana. The current practice location for Immanuel Family Health Center is 915 W Chicago Ave, East Chicago, Indiana. For appointments, you can reach them via phone at (219) 397-6000. The mailing address for Immanuel Family Health Center is 915 W Chicago Ave, East Chicago, Indiana and phone number is (219) 397-6000.

Immanuel Family Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043375934. 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) 397-6000.

Contact Information

Immanuel Family Health Center
915 W Chicago Ave
East Chicago
IN 46312
(219) 397-6000
(219) 397-6358

Primary Care Clinic Profile

Full NameImmanuel Family Health Center
SpecialityClinic/Center
Location915 W Chicago Ave, East Chicago, Indiana
Authorized Official Name and PositionKanayo K Odeluga (OWNER/MD)
Authorized Official Contact2193976000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Immanuel Family Health Center
915 W Chicago Ave
East Chicago
IN 46312-3308

Ph: (219) 397-6000
Immanuel Family Health Center
915 W Chicago Ave
East Chicago
IN 46312

Ph: (219) 397-6000

NPI Details:

NPI Number1043375934
Provider Enumeration Date12/22/2006
Last Update Date06/18/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3678548195
Medicare Enrollment IDO20040828000226

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› Verified 6 days ago

Medical Identifiers

Medical identifiers for Immanuel Family Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043375934NPI-NPPES
15D0956269OtherINCLIA
CG2552OtherPALMETO GBA MEDICA
200210560AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (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. Immanuel Family Health Center acts as a billing entity for following providers:
Provider NameKanayo K Odeluga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023173895
PECOS PAC ID: 1850366378
Enrollment ID: I20100629000826

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› Verified 6 days ago

Provider NameChinyere I Odeluga
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316002181
PECOS PAC ID: 0648466045
Enrollment ID: I20130814000213

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› Verified 6 days ago

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› Verified 6 days ago


Clinic/Center in East Chicago, IN

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Phone: 219-397-0193    Fax: 219-397-0657
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Medicare: Not Enrolled in Medicare
Practice Location: 521 W Chicago Ave, East Chicago, IN 46312
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