Connor Gemlick, is a medicare enrolled "Physician Assistant" physician in Fort Wayne, Indiana. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Orthopaedic Associates Of Grand Rapids Pc and his current practice location is
1918 Carew St., Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 665-4100.
Connor Gemlick is licensed to practice in Michigan (license number 5601011084) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619589546.
Physician's Profile
| Full Name | Connor Gemlick |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1918 Carew St., Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Connor Gemlick graduated from medical school in 2021
NPI Data:
- NPI Number: 1619589546
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 05/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971988684
- Enrollment ID: I20220916000733
Medical Identifiers
Medical identifiers for Connor Gemlick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619589546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5601011084 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601011084 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthopaedic Associates Of Grand Rapids Pc | 9537136403 | 89 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connor Gemlick is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Connor Gemlick,
308 Twin Eagles Blvd E,
Huntertown, IN 46748-9237
Ph: (260) 494-9217 | Connor Gemlick,
1918 Carew St.,
Fort Wayne, IN 46805
Ph: (260) 665-4100 |
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