Dr Tamy E Perng, DO | |
330 N Wabash, Suite 370, Marion, IN 46952-2678 | |
(765) 660-7500 | |
(765) 662-4724 |
Full Name | Dr Tamy E Perng |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 330 N Wabash, Marion, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063628956 | NPI | - | NPPES |
1063628956 | Medicaid | VA | |
000000784523 | Other | IN | ANTHEM |
201115230 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0102202410 (Virginia) | Secondary |
208600000X | Surgery | DO2928 (Maine) | Secondary |
208600000X | Surgery | 02004094A (Indiana) | Primary |
Entity Name | Good Samaritan Hospital Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamy E Perng, DO 123 Hospital Dr, Ste 2000, Watertown, WI 53098-3320 Ph: (765) 660-7616 | Dr Tamy E Perng, DO 330 N Wabash, Suite 370, Marion, IN 46952-2678 Ph: (765) 660-7500 |
Dr. David Gordon Roe, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 330 N Wabash Ave, Suite 440, Marion, IN 46952 Phone: 765-664-7401 Fax: 765-664-7428 | |
Michael A Gunter, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 330 N Wabash, Suite G20, Marion, IN 46952 Phone: 765-660-7600 Fax: 765-651-7313 | |
Dr. Jeffrey Wayne Miller, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave Ste 370, Marion, IN 46952 Phone: 765-660-7500 Fax: 765-662-4724 | |
Dr. Nitin R Sharma, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave Ste 370, Marion, IN 46952 Phone: 765-660-7500 Fax: 765-662-3411 | |
Dr. Douglas Aaron Rex, D.O., Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave, Ste G370, Marion, IN 46952 Phone: 765-660-7500 Fax: 765-662-3411 |