Manohar Gajjela, MD | |
11109 Parkview Plaza Dr, Fort Wayne, IN 46845 | |
(606) 726-6620 | |
(260) 672-6639 |
Full Name | Manohar Gajjela |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 11109 Parkview Plaza Dr, Fort Wayne, 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 |
---|---|---|---|
1942594106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 77792 (Maryland) | Secondary |
282N00000X | General Acute Care Hospital | 77792 (Maryland) | Secondary |
207R00000X | Internal Medicine | 01081675A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalist Physicians Of Indiana Pc | 1052795986 | 128 |
Entity Name | Sound Physicians Of Indiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
Entity Name | Hospitalist Physicians Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967 |
Mailing Address | Practice Location Address |
---|---|
Manohar Gajjela, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Manohar Gajjela, MD 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Ph: (606) 726-6620 |
Dr. Dustin M Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |