| Dr Latchaiah Chirumamilla, MD | |
|
102 Connie Ave Ste 204, Salem, IN 47167-2313 | |
| (812) 755-4443 | |
| Not Available |
| Full Name | Dr Latchaiah Chirumamilla |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 102 Connie Ave Ste 204, Salem, 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 |
|---|---|---|---|
| 1114987583 | NPI | - | NPPES |
| 200189350 | Medicaid | IN | |
| 199040 | Other | IN | MEDICARE OLD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01046148A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 01046148A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Salem | Salem, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Medical Group Inc | 7012047640 | 728 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| 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 Latchaiah Chirumamilla, MD 102 Connie Ave Ste 204, Salem, IN 47167-2313 Ph: Not Available | Dr Latchaiah Chirumamilla, MD 102 Connie Ave Ste 204, Salem, IN 47167-2313 Ph: (812) 755-4443 |
Jeffrey Glenn Morgan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Connie Ave, Salem, IN 47167 Phone: 812-883-2696 |
Mr. Stephen E. Kemker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 N Shelby St, Suite 1000, Salem, IN 47167 Phone: 812-883-3627 Fax: 812-883-3736 |