| Dr Keith D Tatka, DO, MBA | |
|
3400 Wake Forest Rd, Raleigh, NC 27609-7317 | |
| (919) 954-3272 | |
| Not Available |
| Full Name | Dr Keith D Tatka |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3400 Wake Forest Rd, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518112267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036124197 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 2020-01006 (North Carolina) | Primary |
| Entity Name | Chicago Central Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093162836 PECOS PAC ID: 3072415520 Enrollment ID: O20040123000979 |
| Entity Name | Insight Chicago Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith D Tatka, DO, MBA 3400 Wake Forest Rd, Raleigh, NC 27609-7317 Ph: (919) 954-3272 | Dr Keith D Tatka, DO, MBA 3400 Wake Forest Rd, Raleigh, NC 27609-7317 Ph: (919) 954-3272 |
Hershell Cassell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467 | |
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501 | |
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Damian Francis Mchugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 |