Dr Johnny Lee Gerardot Jr, MD | |
6913 N Main St, Ste 300, Granger, IN 46530-8039 | |
(574) 647-1500 | |
(574) 647-2567 |
Full Name | Dr Johnny Lee Gerardot Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 6913 N Main St, Granger, 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 |
---|---|---|---|
1336673037 | NPI | - | NPPES |
300003090 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01084004A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, 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 Johnny Lee Gerardot Jr, MD 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840 | Dr Johnny Lee Gerardot Jr, MD 6913 N Main St, Ste 300, Granger, IN 46530-8039 Ph: (574) 647-1500 |
Dr. Leah Napolitano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12563 State Rd 23, Granger, IN 46530 Phone: 574-335-8300 Fax: 574-335-0775 | |
Nathaniel Robert Stewart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12563 State Rd 23, Granger, IN 46530 Phone: 574-335-8300 Fax: 574-335-0775 | |
Dr. Christopher J Quinn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 Fax: 574-273-5648 | |
Michael Dennison Conroy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16205 Baywood Ln, Granger, IN 46530 Phone: 574-271-0244 | |
Dr. Joseph H Cerbin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 Fax: 574-273-5648 | |
Dr. Justin Reed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 | |
Kathleen George, Family Medicine Medicare: Medicare Enrolled Practice Location: 6913 N Main St Ste 300, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-647-2567 |