Samantha Alyssa Loza, MD | |
2150 25th St Ste B, Columbus, IN 47201-3243 | |
(812) 376-9219 | |
Not Available |
Full Name | Samantha Alyssa Loza |
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Gender | Female |
Speciality | Pediatrics |
Location | 2150 25th St Ste B, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982263307 | NPI | - | NPPES |
300065888 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125.074318 (Illinois) | Secondary |
208000000X | Pediatrics | 01087608A (Indiana) | Primary |
Entity Name | Columbus Regional Health Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
Mailing Address | Practice Location Address |
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Samantha Alyssa Loza, MD Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315 | Samantha Alyssa Loza, MD 2150 25th St Ste B, Columbus, IN 47201-3243 Ph: (812) 376-9219 |
Chong B Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3585 Woodfield Pl, Columbus, IN 47203 Phone: 812-379-2834 | |
Nicole Lurline Mensah-pike, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 25th St Ste B, Columbus, IN 47201 Phone: 812-376-9219 | |
Kathryn Mcaleese, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1120 N Marr Rd, Columbus, IN 47201 Phone: 812-376-9219 Fax: 812-378-4821 | |
Jennifer R. Hartwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 25th St Ste B, Columbus, IN 47201 Phone: 812-376-9219 Fax: 812-378-4821 | |
Dr. Linda B Guse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4225 Vickers Dr, Columbus, IN 47203 Phone: 812-379-9524 Fax: 812-376-6383 | |
Stephen R. Loheide, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1120 N Marr Rd, Columbus, IN 47201 Phone: 812-376-9219 Fax: 812-378-4821 | |
Rachel P Woods, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 25th St Ste B, Columbus, IN 47201 Phone: 812-376-9219 Fax: 812-378-4821 |