Dr Mary Tilak P C | |
2241 45th St Highland IN 46322-2601 | |
(219) 922-8051 | |
(219) 922-8608 |
Full Name | Dr Mary Tilak P C |
---|---|
Speciality | Internal Medicine |
Location | 2241 45th St, Highland, Indiana |
Authorized Official Name and Position | Mary N. Tilak (PRESIDENT) |
Authorized Official Contact | 2199228051 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Tilak P C 2241 45th St Highland IN 46322-2601 Ph: (219) 922-8051 | Dr Mary Tilak P C 2241 45th St Highland IN 46322-2601 Ph: (219) 922-8051 |
NPI Number | 1003096900 |
---|---|
Provider Enumeration Date | 11/07/2007 |
Last Update Date | 04/14/2011 |
Medicare PECOS PAC ID | 1951490390 |
---|---|
Medicare Enrollment ID | O20071207000544 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003096900 | NPI | - | NPPES |
000000541656 | Other | IN | ANTHEM |
90001352 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Provider Name | Mary N Tilak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518054352 PECOS PAC ID: 6800854951 Enrollment ID: I20041221000867 |
Provider Name | Puneet Sethi |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1275583395 PECOS PAC ID: 8325014954 Enrollment ID: I20081030000679 |
Provider Name | Cheryl Anthony Worix |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528028693 PECOS PAC ID: 7911032255 Enrollment ID: I20100311001017 |
Provider Name | Elizabeth A Case |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629447891 PECOS PAC ID: 0446559611 Enrollment ID: I20160422001440 |
Provider Name | Hannah Halewicz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285094490 PECOS PAC ID: 6305138983 Enrollment ID: I20160630001824 |
Provider Name | Jonathan Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487045399 PECOS PAC ID: 2961715685 Enrollment ID: I20180831000890 |
Provider Name | Samantha Nicole Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992272405 PECOS PAC ID: 6901150226 Enrollment ID: I20181126001053 |
Provider Name | Joanne Niere-ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851702229 PECOS PAC ID: 7618194341 Enrollment ID: I20181220001871 |
Provider Name | Gagandeep Kaur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033564422 PECOS PAC ID: 8123319167 Enrollment ID: I20190722000411 |
Provider Name | Bethany Michielsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437784451 PECOS PAC ID: 6406286731 Enrollment ID: I20200428001440 |
Provider Name | Ganiyu Azeez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982808747 PECOS PAC ID: 6406953520 Enrollment ID: I20201202000518 |
Provider Name | Savannah Marie Comstock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770244469 PECOS PAC ID: 7416340450 Enrollment ID: I20220215001433 |
Provider Name | Chelsea Dalton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497410849 PECOS PAC ID: 2567856263 Enrollment ID: I20220223000300 |
Provider Name | Brandy Alicia Kirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679234009 PECOS PAC ID: 5991192825 Enrollment ID: I20220425000950 |
Provider Name | Michael Lane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457932337 PECOS PAC ID: 5890194401 Enrollment ID: I20220919000980 |
Provider Name | Elizabeth Ann Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548985559 PECOS PAC ID: 9335517234 Enrollment ID: I20221128001411 |
Provider Name | Konstantina Gardikiotes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013765056 PECOS PAC ID: 8022552272 Enrollment ID: I20240628003110 |
Provider Name | Stephanie Gail Penacho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285461822 PECOS PAC ID: 7416489042 Enrollment ID: I20241021001101 |
219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 45th St, Ste 4, Highland, IN 46322 Phone: 219-922-6911 Fax: 219-922-6968 | |
Highland Medical Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9006 Indianapolis Blvd, Highland, IN 46322 Phone: 219-923-2241 | |
Integrated Medicine For Mens Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2838 45th St Ste A, Highland, IN 46322 Phone: 219-424-1488 Fax: 219-267-1704 | |
Infectious Disease Specialists, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9143 Indianapolis Blvd, Highland, IN 46322 Phone: 219-972-1547 Fax: 219-836-0034 | |