| Dr Siju T Chacko, MD | |
|
200 E 86th Pl, Merrillville, IN 46410-6258 | |
| (219) 972-1547 | |
| (219) 972-1641 |
| Full Name | Dr Siju T Chacko |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 31 Years |
| Location | 200 E 86th Pl, Merrillville, 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 |
|---|---|---|---|
| 1720017262 | NPI | - | NPPES |
| 200892400 | Medicaid | IN | |
| 036101193 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036101193 (Illinois) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 01064885A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Disease Specialists Pc | 4981691862 | 10 |
| Entity Name | Infectious Disease Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245217215 PECOS PAC ID: 4981691862 Enrollment ID: O20040430000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Siju T Chacko, MD Po Box 10667, Merrillville, IN 46411-0667 Ph: (219) 972-1547 | Dr Siju T Chacko, MD 200 E 86th Pl, Merrillville, IN 46410-6258 Ph: (219) 972-1547 |
Dr. Mihas Mamu Kodenchery, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 5800 Broadway, Suite A-j, Merrillville, IN 46410 Phone: 219-884-9185 | |
Virginia Tan Tabib, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 8127 Merrillville Rd, Merrillville, IN 46410 Phone: 219-769-4855 Fax: 219-757-5629 | |
Dr. Mohammed Asgar, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 5490 Broadway Ste 106, Merrillville, IN 46410 Phone: 219-939-7130 Fax: 219-951-0883 | |
Gaurav Agarwal, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6061 Broadway, Merrillville, IN 46410 Phone: 219-884-2640 Fax: 219-884-2810 | |
Katrina E Wright, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560 | |
Larry R Brazley, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 255 E 90th Dr, W1, Merrillville, IN 46410 Phone: 219-791-0248 Fax: 219-791-0251 | |
Stephanie D Marshall, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8684 Connecticut St Ste A, Merrillville, IN 46410 Phone: 192-472-8990 Fax: 219-472-0270 |