| Shelene S Ruggio, MD | |
|
2500 N Detroit St, Lagrange, IN 46761-1158 | |
| (260) 463-2133 | |
| (260) 463-3775 |
| Full Name | Shelene S Ruggio |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 25 Years |
| Location | 2500 N Detroit St, Lagrange, 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 |
|---|---|---|---|
| 1619087707 | NPI | - | NPPES |
| 000000488751 | Other | IN | ANTHEM |
| 200832040 | Medicaid | IN | |
| 2718303 | Medicaid | OH | |
| P00390092 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01062633A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01062633A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Parkview Huntington Hospital | Huntington, IN | Hospital |
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Entity Name | Northeast Internal Medicine Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174518500 PECOS PAC ID: 7113830688 Enrollment ID: O20031111000068 |
| Entity Name | Act 3 Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023432192 PECOS PAC ID: 8123250420 Enrollment ID: O20140421002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelene S Ruggio, MD Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133 | Shelene S Ruggio, MD 2500 N Detroit St, Lagrange, IN 46761-1158 Ph: (260) 463-2133 |
Vijay G.t. Kamineni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Aqsa Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Ms. Aditi Bawa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Kamran Mushtaq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Ahad Ayaz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Dr. Shashank Nmi Kashyap, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Isaac Gerardo Leon-acuna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |