Connor Gemlick, is a medicare enrolled "Physician Assistant" physician in Fort Wayne, Indiana. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619589546.
Physician's Profile
Full Name | Connor Gemlick |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 1918 Carew St., Fort Wayne, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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 |
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 |
Reviews and Comments