| Andrea Cristina Gonzalez, MD | |
|
1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 | |
| (419) 394-9959 | |
| (419) 394-0255 |
| Full Name | Andrea Cristina Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1140 S Knoxville Ave Ste A, Saint Marys, Ohio |
| 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 |
|---|---|---|---|
| 1437312147 | NPI | - | NPPES |
| 0455916 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.142696 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 43 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Cristina Gonzalez, MD 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129 | Andrea Cristina Gonzalez, MD 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 Ph: (419) 394-9959 |
Padmaja Chalasani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Grand Lake Primary Care At St Marys, 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 | |
Dawn P Mcnaughton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 |