Dr Latchaiah Chirumamilla, MD | |
102 Connie Ave Ste 204, Salem, IN 47167-2313 | |
(812) 755-4443 | |
Not Available |
Full Name | Dr Latchaiah Chirumamilla |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 36 Years |
Location | 102 Connie Ave Ste 204, Salem, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114987583 | NPI | - | NPPES |
200189350 | Medicaid | IN | |
199040 | Other | IN | MEDICARE OLD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01046148A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01046148A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Salem | Salem, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Entity Name | Indiana Physician Management-salem, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033408257 PECOS PAC ID: 0143406595 Enrollment ID: O20110519000111 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Dr Latchaiah Chirumamilla, MD 102 Connie Ave Ste 204, Salem, IN 47167-2313 Ph: () - | Dr Latchaiah Chirumamilla, MD 102 Connie Ave Ste 204, Salem, IN 47167-2313 Ph: (812) 755-4443 |
Mr. Stephen E. Kemker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 N Shelby St, Suite 1000, Salem, IN 47167 Phone: 812-883-3627 Fax: 812-883-3736 |