Laporte Osteopathic Family Practice - Medicare Primary Care in La Porte, IN

Laporte Osteopathic Family Practice is a medicare enrolled primary clinic (Family Medicine) in La Porte, Indiana. The current practice location for Laporte Osteopathic Family Practice is 125 East Shore Parkway, Suite D, La Porte, Indiana. For appointments, you can reach them via phone at (219) 325-0155. The mailing address for Laporte Osteopathic Family Practice is 125 East Shore Parkway, Suite D, La Porte, Indiana and phone number is (219) 325-0155.

Laporte Osteopathic Family Practice is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568656320. 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) 325-0155.

Contact Information

Laporte Osteopathic Family Practice
125 East Shore Parkway
Suite D
La Porte
IN 46350-5677
(219) 325-0155
Not Available

Primary Care Clinic Profile

Full NameLaporte Osteopathic Family Practice
SpecialityFamily Medicine
Location125 East Shore Parkway, La Porte, Indiana
Authorized Official Name and PositionClayton Bert Alexander (PRESIDENT/ DOCTOR)
Authorized Official Contact2193250155
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laporte Osteopathic Family Practice
125 East Shore Parkway
Suite D
La Porte
IN 46350-5672

Ph: (219) 325-0155
Laporte Osteopathic Family Practice
125 East Shore Parkway
Suite D
La Porte
IN 46350-5677

Ph: (219) 325-0155

NPI Details:

NPI Number1568656320
Provider Enumeration Date09/04/2007
Last Update Date12/08/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7113195371
Medicare Enrollment IDO20110714000562

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Medical Identifiers

Medical identifiers for Laporte Osteopathic Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568656320NPI-NPPES
100164980MedicaidIN
000000084179OtherINANTHEM BLUE CROSS
15D0355679OtherINCLIA
080025306OtherINMEDICARE RAILROAD

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. Laporte Osteopathic Family Practice acts as a billing entity for following providers:
Provider NameClayton Bert Alexander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992794879
PECOS PAC ID: 7214106780
Enrollment ID: I20110818000177

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Family Medicine in La Porte, IN

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