Ebenezer M Tayui, MD | |
5454 Hohman Ave, Hammond, IN 46320-1931 | |
(219) 933-2270 | |
(219) 852-2515 |
Full Name | Ebenezer M Tayui |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 5454 Hohman Ave, Hammond, 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 |
---|---|---|---|
1942296231 | NPI | - | NPPES |
200461250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01057882A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Munster | Munster, IN | Hospital |
Franciscan Health Dyer | Dyer, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
Entity Name | Northstar Anesthesia Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
Mailing Address | Practice Location Address |
---|---|
Ebenezer M Tayui, MD Po Box 1000, Dyer, IN 46311-0800 Ph: (219) 864-2268 | Ebenezer M Tayui, MD 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 933-2270 |
Dipak T Shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Jose D Mapalad, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Chie-hong Chyung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Chava Shifra Landau, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6836 Hohman Ave, Hammond, IN 46324 Phone: 219-937-5063 Fax: 219-937-5093 | |
Falvy Hakan Tunca, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Avenue, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Gautam K Shah, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 |