| Dr Avida Nubia Bussell, MD | |
|
1007 Lincolnway, La Porte, IN 46350-3201 | |
| (219) 326-2300 | |
| Not Available |
| Full Name | Dr Avida Nubia Bussell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1007 Lincolnway, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235360165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.05539 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Entity Name | Ctd Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851039762 PECOS PAC ID: 4486025087 Enrollment ID: O20230814002656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Avida Nubia Bussell, MD 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200 | Dr Avida Nubia Bussell, MD 1007 Lincolnway, La Porte, IN 46350-3201 Ph: (219) 326-2300 |
Joseph Lee Newberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Dr. April Lee Bisaga, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Natalie M Painter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46352 Phone: 219-326-1234 | |
Najeem Temmy Ojulari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Regina M Iwinski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46352 Phone: 219-326-1234 | |
Dr. Michael Stuart Hawthorne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 Fax: 219-326-2699 |