Dr Luisito C Gonzales, MD | |
303 S Nappanee St, Suite A, Elkhart, IN 46514-2066 | |
(574) 296-3338 | |
(574) 296-3332 |
Full Name | Dr Luisito C Gonzales |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 37 Years |
Location | 303 S Nappanee St, Elkhart, 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 |
---|---|---|---|
1164425997 | NPI | - | NPPES |
200138970 | Medicaid | IN | |
P01317343 | Other | IN | RR MEDICARE |
000000691249 | Other | IN | ANTHEM BCBS |
200148970 | Medicaid | IN | |
000000851248 | Other | IN | BCBS ELKHART CARDIOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01046919A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elkhart General Hospital | Elkhart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Elkhart Clinic, Llc | 2365341674 | 43 |
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 |
Entity Name | Elkhart Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164846945 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Luisito C Gonzales, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Dr Luisito C Gonzales, MD 303 S Nappanee St, Suite A, Elkhart, IN 46514-2066 Ph: (574) 296-3338 |
Mr. Gordon M Hughes, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 | |
Dr. Bruce A. Lockwitz, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3307 Fax: 574-296-3928 | |
Dr. George Collins Nwadiaro, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3300 | |
Essam A. Montasir, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 574-293-1739 | |
Muhammad A Saeed, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 | |
Adil Wani, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 400, Elkhart, IN 46514 Phone: 574-522-2284 Fax: 574-522-3952 |