| Jonathan P Gentile Ii, MD | |
|
13225 N Meridian St, Carmel, IN 46032-5480 | |
| (317) 228-7000 | |
| (317) 577-0619 |
| Full Name | Jonathan P Gentile Ii |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 35 Years |
| Location | 13225 N Meridian St, Carmel, 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 |
|---|---|---|---|
| 1558456020 | NPI | - | NPPES |
| 000000032231 | Other | IN | M-PLAN PROVIDER NUMBER |
| 000000369670 | Other | IN | ANTHEM PROVIDER NUMBER |
| P00277537 | Other | IN | MEDICARE RAILROAD |
| 200005430 | Medicaid | IN | |
| 000000369670 | Other | IN | UNICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 01039604A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital North | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Spine Group, Pc | 4082502349 | 46 |
| Entity Name | Indiana Spine Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609960046 PECOS PAC ID: 4082502349 Enrollment ID: O20040308001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan P Gentile Ii, MD 13225 N Meridian St, Carmel, IN 46032-5480 Ph: (317) 228-7000 | Jonathan P Gentile Ii, MD 13225 N Meridian St, Carmel, IN 46032-5480 Ph: (317) 228-7000 |
John W. Arbuckle, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 13225 N Meridian St, Carmel, IN 46032 Phone: 317-228-7000 Fax: 317-228-2321 | |
Kevin E. Macadaeg, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 13225 N Meridian St, Carmel, IN 46032 Phone: 317-228-7000 Fax: 317-228-2321 | |
Kara Christine Lutes, APRN, NP Pain Medicine Medicare: Medicare Enrolled Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-2000 | |
Kayla Marie Zink, PA-C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10767 Illinois St Ste 3000, Carmel, IN 46032 Phone: 317-817-1200 Fax: 317-817-1220 | |
Mr. Steven Levine, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 12289 Hancock St, Suite 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951 | |
Phillip R Kingma, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951 |