Dr Tae S Chung, MD | |
520 S 7th St, Vincennes, IN 47591-1038 | |
(812) 885-3939 | |
Not Available |
Full Name | Dr Tae S Chung |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 520 S 7th St, Vincennes, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295925600 | NPI | - | NPPES |
200009110 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01034975A (Indiana) | Primary |
Entity Name | Ludag Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336195353 PECOS PAC ID: 3779516703 Enrollment ID: O20050912000405 |
Mailing Address | Practice Location Address |
---|---|
Dr Tae S Chung, MD 520 S 7th St, Vincennes, IN 47591-1038 Ph: (812) 885-3939 | Dr Tae S Chung, MD 520 S 7th St, Vincennes, IN 47591-1038 Ph: (812) 885-3939 |
Michael Maurice Moss, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-6717 Fax: 812-882-8620 | |
April L Cox, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-5220 | |
Dr. Roger Frank Robison, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3939 Fax: 812-885-3974 | |
Dr. Peter Pingkwong Lai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3939 Fax: 812-885-3974 | |
Timothy Reese Whiteman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-6717 Fax: 812-882-8620 | |
Dr. Brian Joseph Gebhardt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 882-812-5220 |