| Dr Ebenezer Kio, MD | |
|
611 E Douglas Rd Ste 102, Mishawaka, IN 46545-1464 | |
| (574) 335-3600 | |
| (574) 948-5430 |
| Full Name | Dr Ebenezer Kio |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 31 Years |
| Location | 611 E Douglas Rd Ste 102, Mishawaka, 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 |
|---|---|---|---|
| 1164509535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036169262 (Illinois) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 01066705A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Uchicago Medicine Northwest Indiana | Crown point, IN | Hospital |
| Franciscan Health Michigan City | Michigan city, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Chicago | 7719899426 | 1674 |
| University Of Chicago | 7719899426 | 1674 |
| Entity Name | University of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20040604000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ebenezer Kio, MD 611 E Douglas Rd Ste 102, Mishawaka, IN 46545-1464 Ph: (574) 335-3600 | Dr Ebenezer Kio, MD 611 E Douglas Rd Ste 102, Mishawaka, IN 46545-1464 Ph: (574) 335-3600 |
Mini Sra, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262 |
Rafat H Ansari, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-234-5123 Fax: 574-282-2813 |
Dr. Elizabeth Marie Lauber, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262 |
Margaret Ann Quate-operacz, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545 Phone: 574-607-4724 Fax: 574-607-4725 |
Mohamed Farhat, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-237-1328 Fax: 574-968-9442 |
Dr. Yufeng Kevin Wu, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545 Phone: 574-204-7252 Fax: 574-968-0468 |
Shamila Garg, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7260 Fax: 574-204-7261 |