Dr John Christopher Formoso Tang, DO | |
13100 E 136th St Ste 3600, Fishers, IN 46037-9822 | |
(317) 944-0980 | |
(317) 944-1497 |
Full Name | Dr John Christopher Formoso Tang |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 20 Years |
Location | 13100 E 136th St Ste 3600, Fishers, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346458825 | NPI | - | NPPES |
201012180 | Medicaid | IN | |
M400039154 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101015998 (Michigan) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 02003779A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health North Hospital | Carmel, IN | Hospital |
Eskenazi Health | Indianapolis, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Diagnostic Associates Inc | 3375446347 | 274 |
Entity Name | University Medical Diagnostic Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
Mailing Address | Practice Location Address |
---|---|
Dr John Christopher Formoso Tang, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr John Christopher Formoso Tang, DO 13100 E 136th St Ste 3600, Fishers, IN 46037-9822 Ph: (317) 944-0980 |
Dr. Michele J Ostrowski, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Tammy N Durham-boring, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-6060 Fax: 317-355-6965 | |
Racquel Kukita Reyes, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Anna Marie C Sander, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 12677 Brookhaven Dr, Fishers, IN 46037 Phone: 317-219-5188 | |
Dr. Derrick A Williams, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 13914 Southeastern Parkway, Suite 210, Fishers, IN 46037 Phone: 317-419-9900 Fax: 317-415-9910 | |
Sridevi A Vedantam, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 10318 Copper Ridge Dr, Fishers, IN 46040 Phone: 765-965-6566 | |
Dr. Peter Caccavallo, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13000 E 136th St, Suite 1100, Fishers, IN 46037 Phone: 317-678-3585 Fax: 317-863-5084 |