Leonard Buccellato, MD | |
761 45th St, Ste 108, Munster, IN 46321-2893 | |
(219) 922-5416 | |
(219) 922-3745 |
Full Name | Leonard Buccellato |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 761 45th St, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437198348 | NPI | - | NPPES |
M471400308 | Other | IN | MEDICARE PTAN |
200493840 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 01058760 (Indiana) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Leonard Buccellato, MD 1040 Sierra Dr Ste 400, Greenwood, IN 46143-7241 Ph: (317) 528-4800 | Leonard Buccellato, MD 761 45th St, Ste 108, Munster, IN 46321-2893 Ph: (219) 922-5416 |
Maali Milhem, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-703-2408 Fax: 219-703-6684 | |
Sahar Halabi, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 761 45th St Ste 108, Munster, IN 46321 Phone: 219-922-5416 Fax: 219-922-3745 | |
Wassim Shwaiki, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave Ste 203, Munster, IN 46321 Phone: 219-836-7723 Fax: 219-836-7726 | |
Thottathil Viswanathan Gopan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Dr. Kyle Kleist, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-924-1300 Fax: 219-933-2288 | |
Dr. Gene Lee Chang, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9030 Columbia Ave, Munster, IN 46321 Phone: 219-836-6002 Fax: 219-836-6003 | |
Sana Shoaib Meah, D.O Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 761 45th Avenue, Suite 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 |