| Dr Tariq Hussni Ali Enezate, MD | |
|
2325 18th St Ste 130, Columbus, IN 47201-5387 | |
| (812) 379-2020 | |
| Not Available |
| Full Name | Dr Tariq Hussni Ali Enezate |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 18 Years |
| Location | 2325 18th St Ste 130, Columbus, 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 |
|---|---|---|---|
| 1154600492 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| Osf Sacred Heart Medical Center | Danville, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 369 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tariq Hussni Ali Enezate, MD Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315 | Dr Tariq Hussni Ali Enezate, MD 2325 18th St Ste 130, Columbus, IN 47201-5387 Ph: (812) 379-2020 |
Vatsal Bajpai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Neil Amin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5974 | |
Lawrence Klein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 Fax: 812-378-8267 | |
Chelsie Lynn Brady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5974 Fax: 812-375-3203 | |
Brian M Kline, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 912-375-8810 | |
Paula Yanina Villarejo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Central Ave, Columbus, IN 47203 Phone: 812-376-9427 Fax: 812-378-6174 |