Jorge Fernandez Decordova, MD | |
901 Macarthur, Munster, IN 46321-2901 | |
(219) 836-4622 | |
Not Available |
Full Name | Jorge Fernandez Decordova |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 43 Years |
Location | 901 Macarthur, Munster, 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 |
---|---|---|---|
1861487670 | NPI | - | NPPES |
200131350 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01045112A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Washington Hospital | Wenatchee, WA | Hospital |
Mid Valley Hospital | Omak, WA | Hospital |
Lake Chelan Community Hospital | Chelan, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Washington Health Services Association | 4880504596 | 644 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Mailing Address | Practice Location Address |
---|---|
Jorge Fernandez Decordova, MD Po Box 10805, Merrillville, IN 46410-0805 Ph: (800) 288-8325 | Jorge Fernandez Decordova, MD 901 Macarthur, Munster, IN 46321-2901 Ph: (219) 836-4622 |
Ruth D Goldberg, MD Pathology Medicare: Medicare Enrolled Practice Location: 901 Macarthur, Munster, IN 46321 Phone: 219-836-1600 | |
Nadine Kelly, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Pathology Department, Munster, IN 46321 Phone: 219-836-4622 | |
Mei Li, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Domenico Lazzaro, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-934-2085 | |
Reshma Ariga, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-922-4200 Fax: 912-922-8767 | |
Todd Dejulio, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Heidi A Nordbrock, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur, Munster, IN 46321 Phone: 219-836-1600 |