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 | 22 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 | 23 |
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 |
Jeremiah L Ashe, M.D. Anesthesiology Medicare: May Accept 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: Accepting Medicare Assignments 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 |