Roger B Gandionco, MD | |
1500 Darlington Ave, Suite 300, Crawfordsville, IN 47933-2060 | |
(765) 362-4940 | |
(765) 362-1302 |
Full Name | Roger B Gandionco |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1500 Darlington Ave, Crawfordsville, 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 |
---|---|---|---|
1851553796 | NPI | - | NPPES |
201026170 | Medicaid | IN | |
M400075748 | Other | IN | MEDICARE PROVIDER PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BP10030957 (Texas) | Secondary |
207Q00000X | Family Medicine | 01069499A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Iu Health West Hospital | Avon, IN | Hospital |
Hendricks Regional Health | Danville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Care Associates Inc | 5799755864 | 905 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Roger B Gandionco, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Roger B Gandionco, MD 1500 Darlington Ave, Suite 300, Crawfordsville, IN 47933-2060 Ph: (765) 362-4940 |
Dr. Tahmina Ahmad, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1684 Bush Ln, Crawfordsville, IN 47933 Phone: 765-365-9500 | |
Timothy R Tanselle, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Darlington Ave, Ste 300, Crawfordsville, IN 47933 Phone: 765-362-4940 Fax: 765-362-1302 | |
Dr. Charles R Friend, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 | |
William H Leech, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1684 Bush Ln, Crawfordsville, IN 47933 Phone: 765-365-9500 | |
Dr. Deepti Sood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 | |
Odell G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 | |
Scott K Douglas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 |