| Dr Thalia Raya Pachiyannakis, | |
|
1545 Cassopolis St, Elkhart, IN 46514-3128 | |
| (574) 584-2501 | |
| Not Available |
| Full Name | Dr Thalia Raya Pachiyannakis |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1545 Cassopolis St, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275860314 | NPI | - | NPPES |
| 01072322A | Other | IN | IN LICENSE |
| 1275860314 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01072322A (Indiana) | Primary |
| 207V00000X | Obstetrics & Gynecology | 4301094455 (Michigan) | Secondary |
| Entity Name | Heart City Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720033418 PECOS PAC ID: 9931008380 Enrollment ID: O20040105000515 |
| Entity Name | The South Bend Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Entity Name | Healthlinc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thalia Raya Pachiyannakis, 52444 Hickory Rd, Granger, IN 46530-7433 Ph: (810) 282-1405 | Dr Thalia Raya Pachiyannakis, 1545 Cassopolis St, Elkhart, IN 46514-3128 Ph: (574) 584-2501 |
Enrique Eduardo Infante, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave, Suite 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Dr. Rosalie L Mcbride, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2405 W Lexington Ave, Elkhart, IN 46514 Phone: 574-524-7575 Fax: 574-524-7576 | |
Martina A Green-mcgowan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 574-293-3744 | |
Jeffrey L. Cain, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 | |
Dr. Starla D Graber, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2405 West Lexington Avenue, Elkhart, IN 46514 Phone: 574-524-7575 Fax: 574-524-7576 | |
Kathrin Marie Parisi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 110, Elkhart, IN 46514 Phone: 574-524-7570 Fax: 574-524-7571 |