Dr Kajal Patel Puranik, MD | |
3630 Willowcreek Rd, Portage, IN 46368-5075 | |
(219) 364-3700 | |
Not Available |
Full Name | Dr Kajal Patel Puranik |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 3630 Willowcreek Rd, Portage, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891135620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01075990A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Health - Porter | Valparaiso, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter Physician Services Llc | 1850482407 | 91 |
Rci (wrs), Llc. | 5092624510 | 328 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Mailing Address | Practice Location Address |
---|---|
Dr Kajal Patel Puranik, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Dr Kajal Patel Puranik, MD 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 364-3700 |
Dr. Adrienne Baksinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3283 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-8439 Fax: 249-764-8463 | |
Gretchen M Haney, MSN, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Frank X Weilnhammer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Kenneth A Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-759-1157 | |
Dr. Inderjit K Kapoor, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6375 Us Highway 6, Portage, IN 46368 Phone: 219-762-3196 Fax: 219-763-6438 | |
Dr. Shane David Bush, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-364-3700 | |
Julijana Obetkovska, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |