Jason P Tackett (NPI# 1821304296, PAC ID# 9638350028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821304296 |
| PAC ID by PECOS | 9638350028 |
| Professional Enrollment ID | I20110217000541 |
| Full Name | Jason P Tackett |
| Organization Legal Name | LAYOUS LLC |
| Address |
1650 45th Ave A B Munster IN 46321-3962 |
| Phone Number | 2195138923 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143537308 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1704 Lafayette Rd, Crawfordsville, IN 47933-1071 | FRANCISCAN PHYSICIAN NETWORK | |
| 1201 S Main St, Crown Point, IN 46307-8481 | 2197382100 | FRANCISCAN PHYSICIAN NETWORK |
| 3500 Franciscan Way, Michigan City, IN 46360-0021 | FRANCISCAN PHYSICIAN NETWORK | |
| 3500 N Franciscan Way, Suite 400, Michigan City, IN 46360-0021 | 2198788326 | FRANCISCAN PHYSICIAN NETWORK |
| 1650 45th Ave A B, Munster, IN 46321-3962 | 2195138923 | LAYOUS LLC |
| Organization Legal Name | LAYOUS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monika D Vasic | Nurse Practitioner | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Fadi Layous | Pulmonary Disease | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Shanti K Shenoy | Pulmonary Disease | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Street Address |
1650 45TH AVE A B |
| City | MUNSTER |
| State | IN |
| Zip | 46321-3962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monika D Vasic | Nurse Practitioner | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Fadi Layous | Pulmonary Disease | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Shanti K Shenoy | Pulmonary Disease | Layous LLC | 1650 45th Ave A B, Munster, IN 46321-3962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Schwartz | Obstetrics/gynecology | 7550 Hohman Ave, Munster, IN 46321-1060 | |
| Alexander S Bozanich | Pulmonary Disease | 7550 Hohman Ave, Suite 600, Munster, IN 46321-1065 | |
| Henry M Zuniga | Obstetrics/gynecology | 7550 Hohman Ave, Suite 500, Munster, IN 46321-1065 | |
| Aanchal Fnu | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Kristi Canul | Registered Dietitian Or Nutrition Professional | Franciscan Physician Network | 7935 Calumet Ave, Munster, IN 46321-1215 |
| Kyle Lehrman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Jerry R Brasel | Occupational Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Alexis Funk | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 300 Ridge Rd, Munster, IN 46321-1528 |
| Jim J Yao | Nephrology | Associates In Nephrology Sc | 314 Ridge Rd, Munster, IN 46321-1528 |
| Gregory T Bales | Urology | University of Chicago Physcians Group | 10022 Donald S Power Dr, Munster Outpatient Clinic, Munster, IN 46321-1600 |
| Find all physicians in zip 46321 | |||
| City | MUNSTER |
| Zip Code | 46321 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUNSTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jason P Tackett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.