| Antoniya Gospodinova, | |
|
799 Roosevelt Rd Bldg 4, Glen Ellyn, IL 60137-5908 | |
| (708) 356-2400 | |
| (708) 356-2420 |
| Full Name | Antoniya Gospodinova |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 799 Roosevelt Rd Bldg 4, Glen Ellyn, 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 |
|---|---|---|---|
| 1982460440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mava Healthcare Systems Pllc | 8921457292 | 5 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Mava Healthcare Systems PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538931902 PECOS PAC ID: 8921457292 Enrollment ID: O20231212001600 |
| Mailing Address | Practice Location Address |
|---|---|
| Antoniya Gospodinova, 799 Roosevelt Rd Bldg 4, Glen Ellyn, IL 60137-5908 Ph: (708) 356-2400 | Antoniya Gospodinova, 799 Roosevelt Rd Bldg 4, Glen Ellyn, IL 60137-5908 Ph: (708) 356-2400 |
Rocio D Hernandez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 799 Roosevelt Rd Bldg 4, Glen Ellyn, IL 60137 Phone: 708-356-2400 Fax: 708-356-2420 |
Jami Gabrielle Knopp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 180, Glen Ellyn, IL 60137 Phone: 630-545-7855 Fax: 630-545-7817 |
Ariba Kalota, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 799 Roosevelt Rd Ste 4-303, Glen Ellyn, IL 60137 Phone: 708-356-2400 |
Renee Catherine Seaney, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 434 Linden St, Glen Ellyn, IL 60137 Phone: 630-480-1286 |
Erin Leaf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-545-7660 Fax: 630-545-7531 |
Marissa Lynn Puhar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-545-7855 |
Mrs. Kelly A Bramlette, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 330, Glen Ellyn, IL 60137 Phone: 630-545-7576 Fax: 630-545-7839 |