Okolocha Medical Corp. - Medicare Primary Care in Gary, IN

Okolocha Medical Corp. is a medicare enrolled primary clinic (Family Medicine) in Gary, Indiana. The current practice location for Okolocha Medical Corp. is 2054 Grant St, Gary, Indiana. For appointments, you can reach them via phone at (219) 949-7540. The mailing address for Okolocha Medical Corp. is 1314 Fitzgerald Dr, Munster, Indiana and phone number is (219) 922-4802.

Okolocha Medical Corp. is licensed to practice in Indiana (license number 01041856). The clinic also participates in the medicare program and its NPI number is 1902851330. 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) 949-7540.

Contact Information

Okolocha Medical Corp.
2054 Grant St
Gary
IN 46404-3060
(219) 949-7540
(219) 949-7545

Primary Care Clinic Profile

Full NameOkolocha Medical Corp.
SpecialityFamily Medicine
Location2054 Grant St, Gary, Indiana
Authorized Official Name and PositionPaul Chike Okolocha (PHYSICIAN)
Authorized Official Contact2199497540
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Okolocha Medical Corp.
1314 Fitzgerald Dr
Munster
IN 46321-4204

Ph: (219) 922-4802
Okolocha Medical Corp.
2054 Grant St
Gary
IN 46404-3060

Ph: (219) 949-7540

NPI Details:

NPI Number1902851330
Provider Enumeration Date05/24/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5597794834
Medicare Enrollment IDO20050808000530

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Medical Identifiers

Medical identifiers for Okolocha Medical Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902851330NPI-NPPES
000000285585OtherINBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01041856 (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. Okolocha Medical Corp. acts as a billing entity for following providers:
Provider NameAmbrosio A Dosado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588780779
PECOS PAC ID: 0547317620
Enrollment ID: I20090406000629

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Provider NamePaul C Okolocha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629193321
PECOS PAC ID: 2860421104
Enrollment ID: I20100522000064

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Provider NameEunice Okolocha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578763447
PECOS PAC ID: 9032200761
Enrollment ID: I20111214000918

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Provider NameSandra Renee Gates Manna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124396072
PECOS PAC ID: 0749431203
Enrollment ID: I20121108000643

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Provider NameJeong Ho Ryu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730163189
PECOS PAC ID: 9436112679
Enrollment ID: I20150216001817

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Provider NameLillian D Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447663398
PECOS PAC ID: 2860610193
Enrollment ID: I20161228000400

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Provider NameHanifa Waarith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205426723
PECOS PAC ID: 4789099052
Enrollment ID: I20210218001629

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