Dr Generose Villanueva Tejada, MD | |
4199 Gateway Blvd, Newburgh, IN 47630-8940 | |
(812) 842-4200 | |
(812) 602-3174 |
Full Name | Dr Generose Villanueva Tejada |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 4199 Gateway Blvd, Newburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649359282 | NPI | - | NPPES |
201007190 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01067759A (Indiana) | Primary |
Entity Name | Methodist Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
Mailing Address | Practice Location Address |
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Dr Generose Villanueva Tejada, MD 2304 Kossuth St, Lafayette, IN 47904-3240 Ph: (765) 446-9600 | Dr Generose Villanueva Tejada, MD 4199 Gateway Blvd, Newburgh, IN 47630-8940 Ph: (812) 842-4200 |
Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Michelle Renee Estep, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916 | |
Julie A Hurlock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Barry S Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822 | |
Teresa L Martelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 |