| Dr Jude Kieltyka, MD | |
|
600 Grant St, Gary, IN 46402-6001 | |
| (847) 571-2551 | |
| Not Available |
| Full Name | Dr Jude Kieltyka |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 600 Grant St, Gary, 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 |
|---|---|---|---|
| 1639465776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01075095A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 036135364 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| 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 Jude Kieltyka, MD 600 Grant St, Gary, IN 46402-6001 Ph: (847) 571-2551 | Dr Jude Kieltyka, MD 600 Grant St, Gary, IN 46402-6001 Ph: (847) 571-2551 |
Emily Alice Strong Duym, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 | |
Dr. Savannah Lynn Soppet-ryan, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 Richard Gordon Hatcher Blvd, Gary, IN 46402 Phone: 708-663-9937 | |
Guangyu Bai, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 | |
Dr. Mary Ella Kenefake, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 | |
Joshua Zalot, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4289 | |
Dr. Ricardo Rivera-yagnich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Emergency Department, Gary, IN 46402 Phone: 219-886-4289 |