Gina M Connolly, NP in South Bend, IN - Medicare Nurse Practitioner

Gina M Connolly, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in South Bend, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Franciscan Physician Network and her current practice location is 100 Navarre Pl Ste 6600, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-8800.

Gina M Connolly is licensed to practice in Indiana (license number 71004080A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023364262.

Contact Information

	Gina M Connolly, NP
	100 Navarre Pl Ste 6600, South Bend, IN 46601-1173
	(574) 647-8800
	(574) 647-8811

Map and Direction

Provider's Profile

Full Name	Gina M Connolly
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	100 Navarre Pl Ste 6600, South Bend, 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.

Medical Education and Training:

Gina M Connolly graduated from nursing school in 2012

NPI Data:

NPI Number: 1023364262
Provider Enumeration Date: 07/25/2012
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 2365691037
Enrollment ID: I20121012000774

Medical Identifiers

Medical identifiers for Gina M Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023364262	NPI	-	NPPES
201090780	Medicaid	IN
327270010	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	71004080A (Indiana)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	71004080A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital
La Porte Hospital	La porte, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Physician Network	3072790682	983

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. Gina M Connolly allows following entities to bill medicare on her behalf.

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

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

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. Gina M Connolly 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
Gina M Connolly, NP 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Gina M Connolly, NP 100 Navarre Pl Ste 6600, South Bend, IN 46601-1173 Ph: (574) 647-8800

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Gina M Connolly, NP - Medicare Nurse Practitioner in South Bend, IN