| Ejegayehu Terefe-gifawossen, MD | |
|
3500 S Lafountain St, Kokomo, IN 46902-3803 | |
| (765) 865-8630 | |
| (765) 864-5901 |
| Full Name | Ejegayehu Terefe-gifawossen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 3500 S Lafountain St, Kokomo, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750563623 | NPI | - | NPPES |
| 200996560 | Medicaid | IN | |
| P01270943 | Other | IN | RR MEDICARE |
| P00905153 | Other | IN | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0077157 (Maryland) | Primary |
| 207R00000X | Internal Medicine | 01068519 (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01068519 (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital | Silver spring, MD | Hospital |
| Hillhaven Nursing And Rehabilitation Center | Adelphi, MD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Synergy Medical Group Llc | 0749644177 | 46 |
| Usacs Integrated Acute Care Services Of Maryland Llc | 4486900172 | 211 |
| Synergy Medical Group Llc | 0749644177 | 46 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Entity Name | Hospitalist Medicine Physicians Of Maryland Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992945471 PECOS PAC ID: 8729138003 Enrollment ID: O20090608000332 |
| Entity Name | Usacs Integrated Acute Care Services Of Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922598929 PECOS PAC ID: 4486900172 Enrollment ID: O20190604001354 |
| Entity Name | Synergy Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144902776 PECOS PAC ID: 0749644177 Enrollment ID: O20231004000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Ejegayehu Terefe-gifawossen, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Ejegayehu Terefe-gifawossen, MD 3500 S Lafountain St, Kokomo, IN 46902-3803 Ph: (765) 865-8630 |
Leny Philip, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 Fax: 765-864-4166 | |
Dr. Alok Silodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 S Dixon Rd Ste 430, Kokomo, IN 46902 Phone: 765-453-1205 Fax: 765-453-6889 | |
Huan Cui, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Dr. Dawn Marie Sabau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3508 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8181 Fax: 765-453-8565 | |
Julie B Tredemeyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 S Reed Rd, Kokomo, IN 46902 Phone: 765-776-5500 | |
Karthik Rao Polsani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 Fax: 775-453-8111 | |
Muni K Theertham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 Fax: 765-453-8111 |