| Gwen Behm, PA-C | |
|
503 Otis Bowen Dr, Munster, IN 46321-4158 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Gwen Behm |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 503 Otis Bowen Dr, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699929513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001472A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20130507000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Behm, PA-C Po Box 74008272, Suite 1200, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Gwen Behm, PA-C 503 Otis Bowen Dr, Munster, IN 46321-4158 Ph: (872) 231-3162 |
Stefani Tica, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9200 Calumet Ave # 203, Munster, IN 46321 Phone: 219-228-4200 |
Darcy Winston, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |
Danielle Dominique Romero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 |
Amy Berghoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 219-924-3300 Fax: 219-934-2658 |
Michael A Krzyskowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 121-992-4330 Fax: 219-934-2658 |
Allyson Caisley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 |
Reeya Brahmbhatt, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-922-4200 |