Leestma Medical Clinic, Inc - Medicare Primary Care in Demotte, IN

Leestma Medical Clinic, Inc is a medicare enrolled primary clinic (Family Medicine) in Demotte, Indiana. The current practice location for Leestma Medical Clinic, Inc is 519 N Halleck St, Demotte, Indiana. For appointments, you can reach them via phone at (219) 987-7750. The mailing address for Leestma Medical Clinic, Inc is Po Box 850, Demotte, Indiana and phone number is (219) 987-7750.

Leestma Medical Clinic, Inc is licensed to practice in Indiana (license number 02000641A). The clinic also participates in the medicare program and its NPI number is 1487986451. 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) 987-7750.

Contact Information

Leestma Medical Clinic, Inc
519 N Halleck St
Demotte
IN 46310-9553
(219) 987-7750
(219) 987-5750

Primary Care Clinic Profile

Full NameLeestma Medical Clinic, Inc
SpecialityFamily Medicine
Location519 N Halleck St, Demotte, Indiana
Authorized Official Name and PositionEric J Leestma (PRESIDENT)
Authorized Official Contact2199877750
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leestma Medical Clinic, Inc
Po Box 850
Demotte
IN 46310-0850

Ph: (219) 987-7750
Leestma Medical Clinic, Inc
519 N Halleck St
Demotte
IN 46310-9553

Ph: (219) 987-7750

NPI Details:

NPI Number1487986451
Provider Enumeration Date02/02/2010
Last Update Date05/04/2010

Medicare PECOS Information:

Medicare PECOS PAC ID1850290263
Medicare Enrollment IDO20040105000827

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Medical Identifiers

Medical identifiers for Leestma Medical Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487986451NPI-NPPES
080088241OtherRAILROAD MEDICARE
100209310AMedicaidIN
000000084931OtherINANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02000641A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Leestma Medical Clinic, Inc acts as a billing entity for following providers:
Provider NameSharon A Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104951409
PECOS PAC ID: 9335048743
Enrollment ID: I20040105000850

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Provider NameEric J Leestma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700989233
PECOS PAC ID: 8820997232
Enrollment ID: I20100312000666

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Provider NameMicah J Leestma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013201623
PECOS PAC ID: 9133342462
Enrollment ID: I20140805001419

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Provider NameAdam Jon Leestma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891230140
PECOS PAC ID: 0840575213
Enrollment ID: I20170327001651

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Family Medicine in Demotte, IN

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Medicare: Medicare Enrolled
Practice Location: 200 3rd Ct Se, Demotte, IN 46310
Phone: 219-763-8112    
Connection Medical Clinic
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Medicare: Not Enrolled in Medicare
Practice Location: 1317 15th St. Se, Demotte, IN 46310
Phone: 219-987-4280    
Demotte Physicians Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 520 8th Ave Ne, Demotte, IN 46310
Phone: 219-987-3581    Fax: 219-987-7137
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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 404 10th St Sw, Demotte, IN 46310
Phone: 219-987-6010    
Northshore Health Centers, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 200 3rd Ct Se, Demotte, IN 46310
Phone: 219-763-8112    Fax: 219-764-5333

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