Dr Ganapathi Gottumukkala, MD in Saint John, IN

Dr Ganapathi Gottumukkala, MD is a medicare enrolled "Family Medicine" physician in Saint John, Indiana. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Care Network Inc and his current practice location is 9660 Wicker Ave, Saint John, Indiana. You can reach out to his office (for appointments etc.) via phone at (193) 651-1772.

Dr Ganapathi Gottumukkala is licensed to practice in Indiana (license number 01086883A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780683953.

Contact Information

	Dr Ganapathi Gottumukkala, MD
	9660 Wicker Ave, Saint John, IN 46373-9487
	(193) 651-1772
	(219) 703-6662

Map and Direction

Physician's Profile

Full Name	Dr Ganapathi Gottumukkala
Gender	Male
Speciality	Family Practice
Experience	41 Years
Location	9660 Wicker Ave, Saint John, 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.

Medical Education and Training:

Dr Ganapathi Gottumukkala graduated from medical school in 1983

NPI Data:

NPI Number: 1780683953
Provider Enumeration Date: 07/19/2005
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6709912538
Enrollment ID: I20211222001149

Medical Identifiers

Medical identifiers for Dr Ganapathi Gottumukkala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780683953	NPI	-	NPPES
300057653	Medicaid	IN
036074987	Medicaid	IL
01625532	Other	IL	BLUE SHIELD PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036074987 (Illinois)	Secondary
207Q00000X	Family Medicine	01086883A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Hospital	Munster, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Care Network Inc	3678737012	346

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ganapathi Gottumukkala allows following entities to bill medicare on his behalf.

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ganapathi Gottumukkala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ganapathi Gottumukkala, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084	Dr Ganapathi Gottumukkala, MD 9660 Wicker Ave, Saint John, IN 46373-9487 Ph: (193) 651-1772

Reviews and Comments

Family Medicine Doctors in Saint John, IN

Dr. Dana Elsherif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609
Jessica Lynn Bakker, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 9825 Wicker Ave, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5333
Shalini Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-226-2222
David Deschepper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609
Dr. Mydhili Nandanan Moorthie, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 Fax: 219-703-6662

Dr Ganapathi Gottumukkala, MD - Medicare Family Practice in Saint John, IN