Elizabeth Iju Tai, | |
2701 North Decatur Road, Decatur, GA 30033 | |
(404) 501-1849 | |
Not Available |
Full Name | Elizabeth Iju Tai |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 2701 North Decatur Road, Decatur, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457395436 | NPI | - | NPPES |
000836954D | Medicaid | GA | |
000836954E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 047164 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspen Valley Hospital | Aspen, CO | Hospital |
Valley View Hospital Association | Glenwood springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley View Hospital Association | 1850294778 | 171 |
Entity Name | Aspen Valley Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518960814 PECOS PAC ID: 9234123266 Enrollment ID: O20040413000642 |
Entity Name | Valley View Hospital Association |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114654795 PECOS PAC ID: 1850294778 Enrollment ID: O20190423000172 |
Entity Name | Valley View Hospital Association |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1790397008 PECOS PAC ID: 1850294778 Enrollment ID: O20201022000554 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Iju Tai, 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2777 | Elizabeth Iju Tai, 2701 North Decatur Road, Decatur, GA 30033 Ph: (404) 501-1849 |
Nicholas Ross Gozza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Richard Edward Wild, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1275 Oak Grove Dr, Decatur, GA 30033 Phone: 404-315-6110 Fax: 404-315-6074 | |
Dr. Richard Yao Chang Kwong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Department Of Emergency Medicine, Decatur, GA 30033 Phone: 404-501-1000 Fax: 404-501-1765 | |
Dr. Andrew D Jones, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Attn: Stephanie Rowe, Decatur, GA 30033 Phone: 404-501-2650 Fax: 404-501-1765 | |
Tiencia Dorothea James, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1849 | |
Adam Marchak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5374 | |
Joy Felicia Slade, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 North Decatur Road, Decatur, GA 30033 Phone: 404-501-1849 |