DR. MARIE-LESLY EMMANUEL MD
NPI 1891375515
Family Medicine in Lake Station, IN

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
2490 CENTRAL AVE, LAKE STATION, IN 46405(210) 358-3888 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marie-lesly Emmanuel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIE-LESLY EMMANUEL MD (NPI 1891375515) is an individual family medicine provider in Lake Station, Indiana, licensed in Indiana (01094805A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891375515
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIE-LESLY EMMANUELCredential: MD
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing Address1889 W Windsor DrRound Lake, IL 60073-9709 · (224) 308-4614
Sole ProprietorYes
Enumeration DateApril 8, 2021
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1891375515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01094805A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2490 CENTRAL AVE, Lake Station, IN 46405

Other Names 1

Other Name (5)Dr. Marie-lesly Emmanuel Md

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marie-lesly Emmanuel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799210233
PECOS Enrollment IDI20241121001042
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.51 for a new patient copayment and $23.55 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46405 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2490 CENTRAL AVE, STE D
LAKE STATION, IN 46405
Nurse Practitioner (Family)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Social Worker (Clinical)
2490 CENTRAL AVE, SUITE D
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pharmacist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Optometrist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
General Practice
2490 CENTRAL AVE
LAKE STATION, IN 46405
Nurse Practitioner (Family)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Obstetrics & Gynecology
2490 CENTRAL AVE
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Clinic/Center (Federally Qualified Health Center (FQHC))
2490 CENTRAL AVE
LAKE STATION, IN 46405
Nurse Practitioner (Family)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Advanced Practice Midwife
2490 CENTRAL AVE
LAKE STATION, IN 46405
Nurse Practitioner (Psychiatric/Mental Health)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Nurse Practitioner (Family)
2490 CENTRAL AVE
LAKE STATION, IN 46405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891375515, enumerated as an "individual" on April 08, 2021.

The provider is located at 2490 CENTRAL AVE LAKE STATION, IN 46405 and the phone number is (210) 358-3888.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.