| Chandana Vavilala, MD | |
|
10860 Maple Ln, Saint John, IN 46373-8418 | |
| (219) 365-7000 | |
| (219) 365-2609 |
| Full Name | Chandana Vavilala |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 10860 Maple Ln, Saint John, 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 |
|---|---|---|---|
| 1548230113 | NPI | - | NPPES |
| 200496780 | Medicaid | IN | |
| 00000072193 | Other | IN | ANTHEM TRADITIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01057596A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Home Care | Hammond, IN | Home health agency |
| Home Health Of St Mary Medical Center | Hobart, IN | Home health agency |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1168 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandana Vavilala, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Chandana Vavilala, MD 10860 Maple Ln, Saint John, IN 46373-8418 Ph: (219) 365-7000 |
Dr. Robert P Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-226-2212 | |
Mrs. Nikole Milka Barach, RN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10863 Walnut Dr, Saint John, IN 46373 Phone: 219-406-7622 | |
Kenneth J Ramsey, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9615 Keilman St Fl 2, Saint John, IN 46373 Phone: 219-699-0122 Fax: 877-258-9910 |