| Gina M Connolly, NP | |
|
738 E Oak Hill Rd, Chesterton, IN 46304-1360 | |
| (317) 672-5226 | |
| (574) 237-6069 |
| Full Name | Gina M Connolly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 738 E Oak Hill Rd, Chesterton, Indiana |
| 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 |
|---|---|---|---|
| 1023364262 | NPI | - | NPPES |
| 201090780 | Medicaid | IN | |
| 327270010 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71004080A (Indiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 71004080A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 580 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina M Connolly, NP 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Gina M Connolly, NP 738 E Oak Hill Rd, Chesterton, IN 46304-1360 Ph: (317) 672-5226 |
Rhea Mae Martin, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Plaza Drive Suite #1, Chesterton, IN 46304 Phone: 219-728-6091 Fax: 877-793-9750 | |
Melissa M Dvorscak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Village Pt, Chesterton, IN 46304 Phone: 219-440-4835 Fax: 855-220-2073 | |
Tamara Vogel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Michael Dr Ste E, Chesterton, IN 46304 Phone: 219-921-2095 Fax: 219-533-4014 | |
Mrs. Rachael E Callaway, RN, BSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 Indian Boundary Rd Ste 200, Chesterton, IN 46304 Phone: 219-921-2000 Fax: 219-395-8770 | |
Shawn Michelle Kroft, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 W Morgan Ave Rm F168, Chesterton, IN 46304 Phone: 219-763-8112 | |
Lisa M Nichols, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 W Indiana Ave, Chesterton, IN 46304 Phone: 219-763-8112 Fax: 219-764-5380 |