300 N MAIN ST STE D
CROWN POINT, IN 46307-3281 US PECOS Enrolled
Kristine TeodorI
Internal Medicine Physician (Geriatric Medicine)
- CROWN POINT, IN
- Phone: (219)-663-4877
- Last Updated 7/4/2021
Overview
Kristine TeodorI is a Internal Medicine Physician (Geriatric Medicine) in the CROWN POINT area and has over 24 years of experience. Kristine TeodorI primary office location is at 300 N MAIN ST STE D and new patients are welcome to contact this healthcare provider for an appointment. She attended Midwestern University, Chicago College Of Osteopathic Med and graduated 2000
Kristine TeodorI is affiliated with twenty hospitals in the CROWN POINT area, including . The NPI number is 1316943137 and the information was updated approximately 3 years ago.
Kristine TeodorI is affiliated with one medical group in the CROWN POINT area, ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 02002441 | IN |
| Board Certifications |
|---|
| Osteopathic Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| ANTHEM TRADITIONAL | 000000721931 | IN |
| MEDICAID | 200492390 | IN |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician (Geriatric Medicine) - Taxonomy Code 207RG0300X | IN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20140716000193 |
| PECOS Individual PAC ID: | 2163482399 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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