Tynese Simone Anderson, MD | |
1021 W 5th Ave, Gary, IN 46402-1703 | |
(219) 880-1190 | |
(219) 378-7147 |
Full Name | Tynese Simone Anderson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1021 W 5th Ave, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528327731 | NPI | - | NPPES |
300042215 | Other | IN | INDIANA LPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01084389A (Indiana) | Primary |
Entity Name | Community Healthnet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318 |
Mailing Address | Practice Location Address |
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Tynese Simone Anderson, MD 1021 W 5th Ave, Gary, IN 46402-1703 Ph: (219) 880-1190 | Tynese Simone Anderson, MD 1021 W 5th Ave, Gary, IN 46402-1703 Ph: (219) 880-1190 |
Janet Seabrook, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Bayne W Spotwood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Adeyemi Oluremi Oyegbade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2269 W 25th Ave, Gary, IN 46404 Phone: 199-444-1872 Fax: 219-944-4186 | |
Geoffrey Okechukwu Onyeukwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Hanifa Waarith, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Broadway, Gary, IN 46407 Phone: 219-882-0980 | |
Melvin D Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Mr. Nathaniel T Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106 |