| Dr George Larsen Kneller, MD | |
|
900 I St, Laporte, IN 46350-5533 | |
| (219) 324-1700 | |
| (219) 324-1710 |
| Full Name | Dr George Larsen Kneller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 900 I St, Laporte, 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 |
|---|---|---|---|
| 1598756256 | NPI | - | NPPES |
| 100164530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036729A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Care Solutions Llc | Avon, IN | Home health agency |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Larsen Kneller, MD 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Dr George Larsen Kneller, MD 900 I St, Laporte, IN 46350-5533 Ph: (219) 324-1700 |
Dr. Michael Duane Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 | |
Dr. Daniel Evar Edquist, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Mr. Gary H Wheeland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Legacy Plaza West, Laporte, IN 46350 Phone: 219-326-0943 Fax: 219-326-5684 | |
Dr. Kenneth Daniel Shively, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1950 |