Dr Avida Nubia Bussell, MD | |
1007 Lincolnway, La Porte, IN 46350-3201 | |
(219) 326-2300 | |
Not Available |
Full Name | Dr Avida Nubia Bussell |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |