| Dr Clive Lionel Alonzo, MD | |
|
600 Grant St, Gary, IN 46402-6001 | |
| (773) 368-6395 | |
| Not Available |
| Full Name | Dr Clive Lionel Alonzo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 600 Grant St, Gary, 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 |
|---|---|---|---|
| 1134190721 | NPI | - | NPPES |
| 200534280 | Medicaid | IN | |
| P00664351 | Other | IN | MEDICARE RAILROAD |
| 000000577319 | Other | IN | ANTHEM |
| P00632889 | Other | IN | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036112177 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 01060964A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 036112177 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Indiana, Llc | 4981841780 | 56 |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana - Clinton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720624877 PECOS PAC ID: 7618390212 Enrollment ID: O20200714002624 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clive Lionel Alonzo, MD 11831 S Bishop St, Chicago, IL 60643-5013 Ph: (773) 368-6395 | Dr Clive Lionel Alonzo, MD 600 Grant St, Gary, IN 46402-6001 Ph: (773) 368-6395 |
Dr. Olusegun Apata, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St Ste 7, Gary, IN 46404 Phone: 219-882-9900 | |
Raied Abdullah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3229 Broadway, Suite 205, Gary, IN 46409 Phone: 219-887-4950 Fax: 219-887-4955 | |
Kupusamy Umapathy, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4802 Broadway, Gary, IN 46408 Phone: 219-887-4950 | |
Dr. Mark Alan Washington, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 121-988-6400 | |
Brent M Wu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 Richard Gordon Hatcher Blvd, Gary, IN 46402 Phone: 219-886-4000 |