Tamera Lyn Vandegriff, MD | |
2101 Dubois Dr, Warsaw, IN 46580-3210 | |
(742) 673-2005 | |
Not Available |
Full Name | Tamera Lyn Vandegriff |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 2101 Dubois Dr, Warsaw, 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 |
---|---|---|---|
1861454076 | NPI | - | NPPES |
200449770 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01057931A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kosciusko Medical Group Llc | 5496809956 | 50 |
Entity Name | Kosciusko Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
Mailing Address | Practice Location Address |
---|---|
Tamera Lyn Vandegriff, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3513 | Tamera Lyn Vandegriff, MD 2101 Dubois Dr, Warsaw, IN 46580-3210 Ph: (742) 673-2005 |
Douglas E. Sawyer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Daniel Louis Loney, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Provident Dr, Warsaw, IN 46580 Phone: 574-372-5868 Fax: 574-372-5869 | |
Brian David Reichenbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Victoria M Watters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 | |
Sung Jae Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Scott Harlan Ehmen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 Fax: 574-372-7689 | |
David Shaffer Darr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Provident Drive, Ste B, Warsaw, IN 46580 Phone: 574-268-4300 |