Sandra Renee Gates Manna (NPI# 1124396072, PAC ID# 0749431203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124396072 |
| PAC ID by PECOS | 0749431203 |
| Professional Enrollment ID | I20121108000643 |
| Full Name | Sandra Renee Gates Manna |
| Organization Legal Name | NWI HOME DOCTOR LLC |
| Address |
3847 Euclid Ave East Chicago IN 46312-2332 |
| Phone Number | 2193540561 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446506570 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150002 | METHODIST HOSPITALS INC |
| Address | Phone | Organization |
|---|---|---|
| 3847 Euclid Ave, East Chicago, IN 46312-2332 | 2193540561 | NWI HOME DOCTOR LLC |
| 2054 Grant St, Gary, IN 46404-3060 | 2199497540 | OKOLOCHA MEDICAL CORP |
| 6400 Melton Rd, Gary, IN 46403-3009 | 2198889799 | NORTHWEST INDIANA OCCUPATIONAL PAIN AND WELLNESS CENTER LLC |
| 399 E 84th Dr, Merrillville, IN 46410-6484 | 2197567246 | NORTHWEST INDIANA OCCUPATIONAL PAIN AND WELLNESS CENTER LLC |
| Organization Legal Name | NWI HOME DOCTOR LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Okolocha | Family Medicine | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
| Street Address |
3847 EUCLID AVE |
| City | EAST CHICAGO |
| State | IN |
| Zip | 46312-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Okolocha | Family Medicine | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind K Kakodkar | Family Medicine | 3700 Main St, East Chicago, IN 46312-2224 | |
| Prakash Varghese | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Frank Stirlacci | Internal Medicine | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Lolita O Ang | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Felicia L Sanford | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Svetlana Medvedeva | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Sheryl L Bolin | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Anthony S Pellegrini | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Janee S Ware | Family Medicine | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Amy Ann Burian | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Find all physicians in zip 46312 | |||
| City | EAST CHICAGO |
| Zip Code | 46312 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST CHICAGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Renee Gates Manna.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.