| Dr Luis Alberto Gonzalez, MD | |
|
3505 Lake City Hwy, Warsaw, IN 46580-3942 | |
| (574) 269-4144 | |
| (574) 268-2281 |
| Full Name | Dr Luis Alberto Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 3505 Lake City Hwy, Warsaw, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679660260 | NPI | - | NPPES |
| 4288420 | Medicaid | MI | |
| 1603304641 | Other | MI | BCBS INDIVIDUAL PIN |
| 2868162 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301054514 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 01080663A (Indiana) | Primary |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Alberto Gonzalez, MD Po Box 13008, Lansing, MI 48901-3008 Ph: (517) 364-6253 | Dr Luis Alberto Gonzalez, MD 3505 Lake City Hwy, Warsaw, IN 46580-3942 Ph: (574) 269-4144 |
Thomas E Howard, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1275 Provident Dr, Warsaw, IN 46580 Phone: 574-269-4026 Fax: 574-269-7444 | |
Dr. Iwona Podzielinski, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 737 N Detroit St, Warsaw, IN 46580 Phone: 260-436-0800 Fax: 260-483-1911 | |
Dr. Monique Chireau Wubbenhorst, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-372-1282 Fax: 571-372-1275 | |
Erin Hendricks, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-372-1278 Fax: 574-372-1275 | |
Lee A Harris Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 630 S Buffalo St, Suite 1, Warsaw, IN 46580 Phone: 574-267-3889 Fax: 574-267-3249 | |
Caitlin J Ryser, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-372-1282 Fax: 574-372-1275 |