| Gregory Scott Nowak, MD | |
|
3080 Windsor Ct, Suite B, Elkhart, IN 46514-5555 | |
| (574) 266-7817 | |
| (574) 266-7943 |
| Full Name | Gregory Scott Nowak |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3080 Windsor Ct, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184608390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01033943A (Indiana) | Primary |
| Entity Name | Lakeshore Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Scott Nowak, MD 541 Otis Bower Dr, Munster, IN 46321 Ph: (219) 934-5300 | Gregory Scott Nowak, MD 3080 Windsor Ct, Suite B, Elkhart, IN 46514-5555 Ph: (574) 266-7817 |
Dana Hoffman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St, Suite 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Dr. Jasveer Grewal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Beardsley Ave Ste 4b, Elkhart, IN 46514 Phone: 574-304-1519 Fax: 574-350-2441 | |
Yaksha Thakrar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3080 Windsor Ct Suite B, Elkhart, IN 46514 Phone: 574-266-7817 | |
David A Beatty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Mr. Henry Coyne Woodward, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3232 Fax: 574-523-3234 | |
Gene W Grove, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 |