| Elizabeth Iju Tai, | |
|
2701 North Decatur Road, Decatur, GA 30033 | |
| (404) 501-1849 | |
| Not Available |
| Full Name | Elizabeth Iju Tai |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 2701 North Decatur Road, Decatur, Georgia |
| 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 |
|---|---|---|---|
| 1457395436 | NPI | - | NPPES |
| 000836954D | Medicaid | GA | |
| 000836954E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 047164 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
| Aspen Valley Hospital | Aspen, CO | Hospital |
| Valley View Hospital Association | Glenwood springs, CO | Hospital |
| Hca-healthone Dba Swedish Medical Center | Englewood, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
| Valley View Hospital Association | 1850294778 | 173 |
| Carepoint Emergency Medicine, Pllc | 7810291432 | 128 |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Iju Tai, 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2777 | Elizabeth Iju Tai, 2701 North Decatur Road, Decatur, GA 30033 Ph: (404) 501-1849 |
Nicholas Ross Gozza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Richard Edward Wild, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1275 Oak Grove Dr, Decatur, GA 30033 Phone: 404-315-6110 Fax: 404-315-6074 | |
Dr. Richard Yao Chang Kwong, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Department Of Emergency Medicine, Decatur, GA 30033 Phone: 404-501-1000 Fax: 404-501-1765 | |
Dr. Andrew D Jones, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Attn: Stephanie Rowe, Decatur, GA 30033 Phone: 404-501-2650 Fax: 404-501-1765 | |
Tiencia Dorothea James, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1849 | |
Adam Marchak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5374 | |
Joy Felicia Slade, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 North Decatur Road, Decatur, GA 30033 Phone: 404-501-1849 |