Jaime R Hajjari, MD | |
1260 E State Road 205, Columbia City, IN 46725 | |
(260) 248-9000 | |
(260) 482-4442 |
Full Name | Jaime R Hajjari |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 1260 E State Road 205, Columbia City, Indiana |
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 |
---|---|---|---|
1033524590 | NPI | - | NPPES |
000001082449 | Other | ANTHEM | |
300001694 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01078402A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Centralia Hospital | Centralia, WA | Hospital |
Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Emergency Physicians Llc | 3476462334 | 183 |
Entity Name | Northwest Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Mailing Address | Practice Location Address |
---|---|
Jaime R Hajjari, MD 3640 New Vision Dr Ste A, Fort Wayne, IN 46845-1717 Ph: (260) 482-4440 | Jaime R Hajjari, MD 1260 E State Road 205, Columbia City, IN 46725 Ph: (260) 248-9000 |
Dr. David L Hurley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1260 E State Road 205, Columbia City, IN 46725 Phone: 260-248-9411 Fax: 260-248-9135 | |
Dr. Kathleen B Baeverstad, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 N Oak St, Columbia City, IN 46725 Phone: 260-248-9000 |