Dr George Larsen Kneller, MD | |
900 I St, Laporte, IN 46350-5533 | |
(219) 324-1700 | |
(219) 324-1710 |
Full Name | Dr George Larsen Kneller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 900 I St, Laporte, 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 |
---|---|---|---|
1598756256 | NPI | - | NPPES |
100164530 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01036729A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Laporte Home Health | La porte, IN | Home health agency |
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
La Porte Hospital | La porte, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
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 |
---|---|
Dr George Larsen Kneller, MD 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Dr George Larsen Kneller, MD 900 I St, Laporte, IN 46350-5533 Ph: (219) 324-1700 |
Dr. Michael Duane Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 | |
Dr. Daniel Evar Edquist, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Mr. Gary H Wheeland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Legacy Plaza West, Laporte, IN 46350 Phone: 219-326-0943 Fax: 219-326-5684 | |
Dr. Kenneth Daniel Shively, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1950 |