Jason Tyler Rothchild, MD | |
10240 Calumet Ave Fl 2, Munster, IN 46321-4082 | |
(197) 038-2992 | |
(219) 703-6517 |
Full Name | Jason Tyler Rothchild |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10240 Calumet Ave Fl 2, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972122455 | NPI | - | NPPES |
300072641 | Medicaid | IN | |
1102860751 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01088579A (Indiana) | Primary |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Jason Tyler Rothchild, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Jason Tyler Rothchild, MD 10240 Calumet Ave Fl 2, Munster, IN 46321-4082 Ph: (197) 038-2992 |
Fardad Massoumi Bavil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-3049 Fax: 219-836-7295 | |
Raymond Loza, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-7295 | |
Jonathan Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 929 Ridge Rd Ste 7, Munster, IN 46321 Phone: 219-836-9515 Fax: 219-836-8547 | |
Dr. Olayemi O Champion-odusola, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-5030 | |
Farah Najamuddin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-7295 | |
Sameea A Chughtai, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Franciscan Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-8073 | |
Dr. Thomas Wilkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 Fran Lin Pkwy, Munster, IN 46321 Phone: 219-703-2448 Fax: 219-703-6903 |