Dr Anthony R Gauthier, MD | |
1615 Winsted Dr Ste 4, Goshen, IN 46526-4673 | |
(574) 533-8420 | |
(574) 534-5822 |
Full Name | Dr Anthony R Gauthier |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 32 Years |
Location | 1615 Winsted Dr Ste 4, Goshen, 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 |
---|---|---|---|
1548203540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301079102 (Michigan) | Secondary |
208800000X | Urology | 01077751A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Goshen Hospital | Goshen, IN | Hospital |
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Goshen Health System Inc | 4880598572 | 137 |
Entity Name | Goshen Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Saint Joseph Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
Entity Name | Allied Physicians Of Michiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony R Gauthier, MD 1615 Winsted Dr Ste 4, Goshen, IN 46526-4673 Ph: (574) 533-8420 | Dr Anthony R Gauthier, MD 1615 Winsted Dr Ste 4, Goshen, IN 46526-4673 Ph: (574) 533-8420 |
Jeffrey P Bolduan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1615 Winsted Dr Ste 4, Goshen, IN 46526 Phone: 574-533-8420 Fax: 574-533-3909 |