Dr Charles Lai, MD | |
1000 S Main St, Tipton, IN 46072-9753 | |
(765) 675-8521 | |
(765) 675-8520 |
Full Name | Dr Charles Lai |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 S Main St, Tipton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316935745 | NPI | - | NPPES |
000000603505 | Other | IN | ANTHEM - TIPTON HOSPITAL |
200323660A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01053876 (Indiana) | Primary |
207P00000X | Emergency Medicine | 01053876A (Indiana) | Secondary |
Entity Name | Indiana Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477930089 PECOS PAC ID: 4385541614 Enrollment ID: O20031216000135 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Lai, MD 1000 S Main St, Tipton, IN 46072-9753 Ph: (765) 675-8521 | Dr Charles Lai, MD 1000 S Main St, Tipton, IN 46072-9753 Ph: (765) 675-8521 |
Sherif S Andrews, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main Street, Tipton, IN 46072 Phone: 765-675-8397 Fax: 765-675-6704 | |
James Riley Davidson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8391 Fax: 765-675-6704 | |
Dr. Saba Haq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8106 Fax: 765-675-8257 |