Lifecare Of Indiana Llc - Medicare Primary Care in Michigan City, IN

Lifecare Of Indiana Llc is a medicare enrolled primary clinic (Family Medicine) in Michigan City, Indiana. The current practice location for Lifecare Of Indiana Llc is 240 Commerce Sq, Michigan City, Indiana. For appointments, you can reach them via phone at (219) 324-5005. The mailing address for Lifecare Of Indiana Llc is 240 Commerce Sq, Michigan City, Indiana and phone number is (231) 299-2900.

Lifecare Of Indiana Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639748692. 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) 324-5005.

Contact Information

Lifecare Of Indiana Llc
240 Commerce Sq
Michigan City
IN 46360-3282
(219) 324-5005
Not Available

Primary Care Clinic Profile

Full NameLifecare Of Indiana Llc
SpecialityFamily Medicine
Location240 Commerce Sq, Michigan City, Indiana
Authorized Official Name and PositionIsaac J Leestma (COO / ADMINISTRATOR)
Authorized Official Contact6168213485
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifecare Of Indiana Llc
240 Commerce Sq
Michigan City
IN 46360-3282

Ph: (231) 299-2900
Lifecare Of Indiana Llc
240 Commerce Sq
Michigan City
IN 46360-3282

Ph: (219) 324-5005

NPI Details:

NPI Number1639748692
Provider Enumeration Date06/23/2021
Last Update Date07/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9436541018
Medicare Enrollment IDO20220111000298

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Medical Identifiers

Medical identifiers for Lifecare Of Indiana Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639748692NPI-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. Lifecare Of Indiana Llc acts as a billing entity for following providers:
Provider NamePatricia A Wangerin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962442483
PECOS PAC ID: 4981720042
Enrollment ID: I20100925000357

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