Optimum Primary Care Llc - Medicare Primary Care in Hammond, IN

Optimum Primary Care Llc is a medicare enrolled primary clinic (Internal Medicine) in Hammond, Indiana. The current practice location for Optimum Primary Care Llc is 7330 Indianapolis Blvd, Hammond, Indiana. For appointments, you can reach them via phone at (219) 844-1444. The mailing address for Optimum Primary Care Llc is 11116 Saratoga Dr, Orland Park, Illinois and phone number is (773) 841-9238.

Optimum Primary Care Llc is licensed to practice in Indiana (license number 01059379A). The clinic also participates in the medicare program and its NPI number is 1073748216. 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) 844-1444.

Contact Information

Optimum Primary Care Llc
7330 Indianapolis Blvd
Hammond
IN 46324-2941
(219) 844-1444
Not Available

Primary Care Clinic Profile

Full NameOptimum Primary Care Llc
SpecialityInternal Medicine
Location7330 Indianapolis Blvd, Hammond, Indiana
Authorized Official Name and PositionKhaled A Reheem-farag (PRESIDENT)
Authorized Official Contact7738419238
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optimum Primary Care Llc
11116 Saratoga Dr
Orland Park
IL 60467-8740

Ph: (773) 841-9238
Optimum Primary Care Llc
7330 Indianapolis Blvd
Hammond
IN 46324-2941

Ph: (219) 844-1444

NPI Details:

NPI Number1073748216
Provider Enumeration Date05/18/2009
Last Update Date03/28/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4880744861
Medicare Enrollment IDO20090625000334

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Medical Identifiers

Medical identifiers for Optimum Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073748216NPI-NPPES
IL2028OtherILPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01059379A (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. Optimum Primary Care Llc acts as a billing entity for following providers:
Provider NameKhaled A Reheem Farag
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1811931108
PECOS PAC ID: 0143282228
Enrollment ID: I20041101000634

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