| Dr Ekei Joso Tanifum, MD | |
|
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
| (912) 435-6965 | |
| Not Available |
| Full Name | Dr Ekei Joso Tanifum |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
| 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 |
|---|---|---|---|
| 1629186614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301073047 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 308952 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Sumter Medical Center | Americus, GA | Hospital |
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ekei Joso Tanifum, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Dr Ekei Joso Tanifum, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
Christopher Michael Krebs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Winn Army Community Hospital, Fort Stewart, GA 31314 Phone: 912-435-6820 Fax: 912-435-6706 | |
Adam Walter Kowalski, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Elisabeth Jones Chang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Brian F Malloy, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. James A Mcquown Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Willis Andrew Mcvay, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6868 Fax: 912-435-6857 | |
Dr. John Samuel Young, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Winn Army Hospital, Fort Stewart, GA 31314 Phone: 912-435-6633 |