| 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 | Surgical Oncology |
| Experience | 14 Years |
| Location | 200 High Park Ave, Goshen, 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 |
|---|---|---|---|
| 1730509217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01091556A (Indiana) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 01091556A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Health System Inc | 4880598572 | 140 |
| 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: Not Enrolled in Medicare 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 | |
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 | |
Dr. Levi Smucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St Ste A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |