Medina Healthcare Sc - Medicare Primary Care in Dyer, IN

Medina Healthcare Sc is a medicare enrolled primary clinic (Internal Medicine) in Dyer, Indiana. The current practice location for Medina Healthcare Sc is 932 Richard Rd, Dyer, Indiana. For appointments, you can reach them via phone at (219) 515-2148. The mailing address for Medina Healthcare Sc is 932 Richard Rd, Dyer, Indiana and phone number is (708) 982-1544.

Medina Healthcare Sc is licensed to practice in Illinois (license number 036089606). The clinic also participates in the medicare program and its NPI number is 1487975900. 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) 515-2148.

Contact Information

Medina Healthcare Sc
932 Richard Rd
Dyer
IN 46311-1936
(219) 515-2148
Not Available

Primary Care Clinic Profile

Full NameMedina Healthcare Sc
SpecialityInternal Medicine
Location932 Richard Rd, Dyer, Indiana
Authorized Official Name and PositionKatie A Werner (CREDENTIALING)
Authorized Official Contact6302619286
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medina Healthcare Sc
932 Richard Rd
Dyer
IN 46311-1936

Ph: (708) 982-1544
Medina Healthcare Sc
932 Richard Rd
Dyer
IN 46311-1936

Ph: (219) 515-2148

NPI Details:

NPI Number1487975900
Provider Enumeration Date06/18/2010
Last Update Date12/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9133304579
Medicare Enrollment IDO20110428000048

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Medical Identifiers

Medical identifiers for Medina Healthcare Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487975900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036089606 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medina Healthcare Sc acts as a billing entity for following providers:
Provider NameHuma Tazeem Mulk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497884027
PECOS PAC ID: 6406031848
Enrollment ID: I20110428000060

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