Gopal Menon, MB,BS | |
200 High Park Ave, Goshen, IN 46526-4810 | |
(574) 364-2888 | |
(574) 364-2544 |
Full Name | Gopal Menon |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Oncology |
Location | 200 High Park Ave, Goshen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730509217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01091556A (Indiana) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 01091556A (Indiana) | Primary |
Entity Name | Goshen Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
Mailing Address | Practice Location Address |
---|---|
Gopal Menon, MB,BS 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888 | Gopal Menon, MB,BS 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888 |
Winston C Gerig, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 | |
Nathaniel T Dew, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 | |
Denise C Murphy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 | |
Daniel A Diener, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St, Suite A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 | |
Jon E Smucker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Marilyn Ave, Suite 4, Goshen, IN 46526 Phone: 574-533-2769 Fax: 574-534-6822 | |
Dr. Ashley Nicole Hardy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 | |
John W Harley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Marilyn Ave, Suite 4, Goshen, IN 46526 Phone: 574-533-2769 Fax: 574-534-6822 |