Dr Clive Lionel Alonzo, MD | |
600 Grant St, Gary, IN 46402-6001 | |
(773) 368-6395 | |
Not Available |
Full Name | Dr Clive Lionel Alonzo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 600 Grant St, Gary, 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 |
---|---|---|---|
1134190721 | NPI | - | NPPES |
200534280 | Medicaid | IN | |
P00664351 | Other | IN | MEDICARE RAILROAD |
000000577319 | Other | IN | ANTHEM |
P00632889 | Other | IN | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036112177 (Illinois) | Secondary |
207R00000X | Internal Medicine | 01060964A (Indiana) | Primary |
207R00000X | Internal Medicine | 036112177 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospitals Inc | Gary, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Indiana, Llc | 4981841780 | 41 |
Entity Name | The Methodist Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
Entity Name | Sound Physicians Of Indiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
Entity Name | Hospitalist Medicine Physicians Of Indiana - Clinton Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720624877 PECOS PAC ID: 7618390212 Enrollment ID: O20200714002624 |
Entity Name | The Rejuvenation House Medi Spa, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003560285 PECOS PAC ID: 5799171393 Enrollment ID: O20220407001818 |
Mailing Address | Practice Location Address |
---|---|
Dr Clive Lionel Alonzo, MD 11831 S Bishop St, Chicago, IL 60643-5013 Ph: (773) 368-6395 | Dr Clive Lionel Alonzo, MD 600 Grant St, Gary, IN 46402-6001 Ph: (773) 368-6395 |
Dr. Olusegun Apata, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St Ste 7, Gary, IN 46404 Phone: 219-882-9900 | |
Raied Abdullah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3229 Broadway, Suite 205, Gary, IN 46409 Phone: 219-887-4950 Fax: 219-887-4955 | |
Kupusamy Umapathy, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4802 Broadway, Gary, IN 46408 Phone: 219-887-4950 | |
Dr. Mark Alan Washington, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 121-988-6400 |