| Agata Gebala, | |
|
375 N Wall St, Kankakee, IL 60901-3483 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Agata Gebala |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 375 N Wall St, Kankakee, Illinois |
| 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 |
|---|---|---|---|
| 1033069869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Emergency Physicians Llc | 6204294119 | 35 |
| Entity Name | Riverside Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Agata Gebala, 2 W Pebble Ct Apt A, Palos Hills, IL 60465-3298 Ph: Not Available | Agata Gebala, 375 N Wall St, Kankakee, IL 60901-3483 Ph: (815) 933-1671 |
Shonna Cotton Beckman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 W Court St, Suite 102, Kankakee, IL 60901 Phone: 815-937-8744 Fax: 815-937-3528 |
Mr. Andrew J Donofrio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 |
Mrs. Stephanie E Grosso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2400 Fax: 815-937-8778 |
Mrs. Olga Banys, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 |
Sherri B Morrison, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 |
Mr. Brent Ray Huffines, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 |
Regan Lane Kendregan, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 400 N Wall St, Ste 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 915-932-5872 |