Nidal Jibawi, DO | |
12750 St Francis Dr, Crown Point, IN 46307-0264 | |
(219) 757-6121 | |
(219) 681-6897 |
Full Name | Nidal Jibawi |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 12750 St Francis Dr, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285138297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 02006966A (Indiana) | Secondary |
207R00000X | Internal Medicine | 036.161980 (Illinois) | Secondary |
208M00000X | Hospitalist | 02006966A (Indiana) | Primary |
Entity Name | Chest Physician Consultants, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760576359 PECOS PAC ID: 9931173937 Enrollment ID: O20040825000279 |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Nidal Jibawi, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Nidal Jibawi, DO 12750 St Francis Dr, Crown Point, IN 46307-0264 Ph: (219) 757-6121 |
Nicole M Cataldi, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 800 W Burrell Dr, Crown Point, IN 46307 Phone: 219-663-9913 Fax: 219-663-9923 | |
Usman Syed Ather, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Kenneth Polezoes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7310 W Lincoln Hwy, Crown Point, IN 46307 Phone: 219-322-4637 Fax: 219-322-5298 | |
Wajihuddin Syed, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1205 S Main St Ste 201, Crown Point, IN 46307 Phone: 219-769-8340 Fax: 219-769-8341 | |
Rayon Golding, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Jennifer Lynn Kelly, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-933-2288 |