| Chetan Puranik, MD | |
|
504 Legacy Plz W, La Porte, IN 46350-5254 | |
| (219) 326-7246 | |
| (219) 326-7234 |
| Full Name | Chetan Puranik |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 504 Legacy Plz W, La Porte, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760532741 | NPI | - | NPPES |
| 200857580 | Medicaid | IN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centers For Pain Control, Inc | 7416019450 | 24 |
| Entity Name | Centers For Pain Control, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790920452 PECOS PAC ID: 7416019450 Enrollment ID: O20081229000343 |
| Entity Name | Interventional Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1083051346 PECOS PAC ID: 3274768692 Enrollment ID: O20131021000236 |
| Entity Name | Interventional Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1164833687 PECOS PAC ID: 3274768692 Enrollment ID: O20141006002330 |
| Entity Name | Interventional Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1801349386 PECOS PAC ID: 3274768692 Enrollment ID: O20170123001880 |
| Mailing Address | Practice Location Address |
|---|---|
| Chetan Puranik, MD 204 Legacy Plz W, La Porte, IN 46350-5285 Ph: (219) 326-7246 | Chetan Puranik, MD 504 Legacy Plz W, La Porte, IN 46350-5254 Ph: (219) 326-7246 |
Dr. Terry Christopher Easton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1331 State St, La Porte, IN 46350 Phone: 219-326-1234 Fax: 317-324-1012 | |
Jeremiah L Ashe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 974 S Redbud Dr, La Porte, IN 46350 Phone: 317-679-1792 | |
Jana Dimce Dukleski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Richard J Gnaedinger, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Linda S Sirugo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 | |
Dale A. Goodman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
William E. Wolf Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 |