Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emmanuel Thierry Mentor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770909392

Emmanuel Thierry Mentor is a Family Practice in Chesterton, Indiana. Qualified in 2000, 26 years ago. Practices with Hansa Medical Groupe PLLC, a 39-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

650 Dickinson Rd
Chesterton, IN 46304-3387
Phone: (219) 926-7755
Fax: (219) 929-1885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3630 Willowcreek Rd, Portage, IN 46368-5075 — (219) 364-3900
  • 809 Laporte Ave, Valparaiso, IN 46383-5801 — (219) 263-4977

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01073933A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770909392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2014
Last updated in NPPESNovember 14, 2018
Mailing address809 Laporte Ave, Valparaiso, IN 46383-5801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Hansa Medical Groupe Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chesterton