Marcotte Medical Group Patient Payment Portal

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Secure Transaction
Billing Information
First Name:
Last Name:
Country:
Address:
City:
State/Province:
Zip/Postal Code:
Phone Number:
Email Address:

Additional Information
I agree to the Terms & Conditions (read below):
Patient Medical Record Number:
Terms and Conditions: I authorize Marcotte Medical Group S.C to charge my credit card for the services rendered.

Convenience fee: Please note that if you are paying with an FSA/HSA card, please do not complete the checkout online and call our Medical Group Billing at (219)365-6333 to avoid paying a convenience fee. Thank you.

If you need additional information regarding your invoice or the payment checkout process,
please contact Marcotte Medical Group Billing at (219)365-6333 or send an email to our Practice Manager Dawn Wager at DawnWager@marcottemedicalgroup.com