Danielle Dorine Gontarz, FNP, RN is a medicare enrolled "Family Medicine" in Brownsburg, Indiana. Her current practice location is
90 E Garner Rd, Brownsburg, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 858-7566.
Danielle Dorine Gontarz is licensed to practice in California (license number 95012874) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720624158.
Provider's Profile
Full Name | Danielle Dorine Gontarz |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 90 E Garner Rd, Brownsburg, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720624158
- Provider Enumeration Date: 11/20/2019
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224468004
- Enrollment ID: I20220728001636
Medical Identifiers
Medical identifiers for Danielle Dorine Gontarz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720624158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71012022A (Indiana) | Secondary |
207Q00000X | Family Medicine | 95012874 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Danielle Dorine Gontarz allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750763819 PECOS PAC ID: 0042526063 Enrollment ID: O20150904000941 |
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Entity Name | Advanced Pain Management Of Elwood |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982240917 PECOS PAC ID: 2062849474 Enrollment ID: O20200225001418 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danielle Dorine Gontarz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Danielle Dorine Gontarz, FNP, RN 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Danielle Dorine Gontarz, FNP, RN 90 E Garner Rd, Brownsburg, IN 46112-9359 Ph: (317) 858-7566 |
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