Willowcreek Medical Center - Medicare Primary Care in Portage, IN

Willowcreek Medical Center is a medicare enrolled primary clinic (Internal Medicine - Pulmonary Disease) in Portage, Indiana. The current practice location for Willowcreek Medical Center is 3156 Willowcreek Rd, Portage, Indiana. For appointments, you can reach them via phone at (219) 762-4999. The mailing address for Willowcreek Medical Center is 2700 Valparaiso St # 2001, Valparaiso, Indiana and phone number is () -.

Willowcreek Medical Center is licensed to practice in Indiana (license number 01065464A). The clinic also participates in the medicare program and its NPI number is 1487949889. 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) 762-4999.

Contact Information

Willowcreek Medical Center
3156 Willowcreek Rd
Portage
IN 46368-4424
(219) 762-4999
Not Available

Primary Care Clinic Profile

Full NameWillowcreek Medical Center
SpecialityInternal Medicine
Location3156 Willowcreek Rd, Portage, Indiana
Authorized Official Name and PositionGaurav Kumar (OWNER)
Authorized Official Contact2197624999
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Willowcreek Medical Center
2700 Valparaiso St # 2001
Valparaiso
IN 46383-3123

Ph: () -
Willowcreek Medical Center
3156 Willowcreek Rd
Portage
IN 46368-4424

Ph: (219) 762-4999

NPI Details:

NPI Number1487949889
Provider Enumeration Date06/14/2011
Last Update Date05/28/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4284812827
Medicare Enrollment IDO20110629000573

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Medical Identifiers

Medical identifiers for Willowcreek Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487949889NPI-NPPES
201030150AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01065464A (Indiana)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 01065464A (Indiana)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 01065464A (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. Willowcreek Medical Center acts as a billing entity for following providers:
Provider NameGaurav Kumar
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1225219462
PECOS PAC ID: 9638365653
Enrollment ID: I20110629000618

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