| Gerald E Gonnella, PA | |
|
601 Gateway Blvd N, Chesterton, IN 46304-9658 | |
| (219) 921-1444 | |
| (219) 921-5303 |
| Full Name | Gerald E Gonnella |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 601 Gateway Blvd N, Chesterton, 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 |
|---|---|---|---|
| 1801894407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 10000264A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Health- Porter | Valparaiso, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Bone And Joint Institute Ii, Llc | 0446512909 | 8 |
| Entity Name | Lakeshore Bone & Joint Institute, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Entity Name | Lakeshore Bone & Joint Institute II, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821326240 PECOS PAC ID: 0446512909 Enrollment ID: O20180320003388 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald E Gonnella, PA 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 | Gerald E Gonnella, PA 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 |
Gage Alan Thoma, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |
April Marie Przyborski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |
Ms. Danielle Mankin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |
Anna Elizabeth Grill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 |
Stephanie M Sotiropoulos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |
Benjamin Brewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926 |
Natalie R Fox, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |