Mr Gary H Wheeland, MD | |
500 Legacy Plaza West, Laporte, IN 46350-5254 | |
(219) 326-0943 | |
(219) 326-5684 |
Full Name | Mr Gary H Wheeland |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 500 Legacy Plaza West, Laporte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457312357 | NPI | - | NPPES |
000000697810 | Other | IN | ANTHEM |
M400043531 | Other | MEDICARE PTAN | |
200020420 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01031308 (Indiana) | Primary |
Entity Name | Indiana University Health La Porte Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary H Wheeland, MD Po Box 1690, La Porte, IN 46352-1690 Ph: (219) 326-2312 | Mr Gary H Wheeland, MD 500 Legacy Plaza West, Laporte, IN 46350-5254 Ph: (219) 326-0943 |
Dr. Michael Duane Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 | |
Dr. Daniel Evar Edquist, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Dr. George Larsen Kneller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1710 | |
Dr. Kenneth Daniel Shively, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1950 |