| Dr Kelly R Puster, MD | |
|
303 S Nappanee St, Elkhart, IN 46514-2066 | |
| (574) 296-3220 | |
| (574) 296-3322 |
| Full Name | Dr Kelly R Puster |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 303 S Nappanee St, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669477881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01057142A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly R Puster, MD Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3220 | Dr Kelly R Puster, MD 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3220 |
Bradley Gordan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 | |
Luis Alfonso Benavente Chenhalls, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave, Suite 340, Elkhart, IN 46514 Phone: 574-293-3317 Fax: 574-293-3523 | |
Nicholas Miller, Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 | |
Anatoliy V. Rudin, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-293-3317 | |
Dr. Peter Chulhi Kang, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 | |
Dr. Colin Talanda Fath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 |