Organization
MARCOTTE MEDICAL GROUP, PC
Active
Other names
Marcotte Medical Group, SC, Marcotte Medical Group INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR M MARCOTTE DO (OWNER)
(219) 365-6333
Entity
Organization
Contact information
Practice address
15900 W 101ST AVE, DYER, IN 46311
(219) 365-6333
(219) 365-8291
Mailing address
15900 W 101ST AVE, DYER, IN 46311
(219) 365-6333
(219) 365-8291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363441
ANTHEM
IN
05
—
200424880A
—
IN
01
—
5913390001
DMERC
IN
01
—
9932077
BCBS
IL
Enumeration date
05/17/2006
Last updated
11/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us