Ms Andrea Leslie Gentile, MD | |
1753 Fulton St, Elkhart, IN 46514-1927 | |
(574) 293-9448 | |
(574) 293-9480 |
Full Name | Ms Andrea Leslie Gentile |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 8 Years |
Location | 1753 Fulton St, Elkhart, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942664784 | NPI | - | NPPES |
213362795 | Medicaid | AR | |
08333075 | Medicaid | MS | |
300050491 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01085704A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elkhart General Hospital | Elkhart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Ms Andrea Leslie Gentile, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Ms Andrea Leslie Gentile, MD 1753 Fulton St, Elkhart, IN 46514-1927 Ph: (574) 293-9448 |
Dr. Craig Edward Meyer, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 500 Arcade Ave, Suite 210, Elkhart, IN 46514 Phone: 574-389-9696 Fax: 574-389-9797 | |
Eric M Johnson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3291 Fax: 574-296-3383 | |
John S Gilbert, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Dr. Erin Marie Kevern, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 |