Angela L Diuble, PA

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Promedica Toledo Hospital Hospital · Toledo, OH · listed as Toledo Hospital
• Promedica Charles And Virginia Hickman Hospital Hospital · Adrian, MI
• Promedica Monroe Regional Hospital Hospital · Monroe, MI
• Elara Caring Home health agency · Jackson, MI

Colleagues at Promedica Central Corporation of Michigan

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 112 clinicians in the practice; 12 are shown here.

• Rahul Chakravarty, MD Anesthesiology Physician · Oregon, OH
• Nour H Chams, MD Student in an Organized Health Care Education/Training Program · Adrian, MI
• Dr. Paul E Gietzen Jr., MD Internal Medicine Physician · Adrian, MI
• Dr. Aron Alan Gornowicz, DO Family Medicine Physician · Adrian, MI
• Hany H Isak, MD Anesthesiology Physician · Monroe, MI
• Shane Michael Lagore, NP Gerontology Nurse Practitioner · Adrian, MI
• Mrs. Cassandra Ann Maksimczak, CRNA Registered Nurse · Hillsdale, MI
• Bradley Marchese, MD Student in an Organized Health Care Education/Training Program · Tecumseh, MI
• Penny Merkle, CRNA Certified Registered Nurse Anesthetist · Monroe, MI
• Samantha M Mucha, MD Otolaryngology Physician · Adrian, MI
• Manishkumar Patel, MD Family Medicine Physician · Adrian, MI
• Yolanda Cherie Doster Wilkins, CRNA Certified Registered Nurse Anesthetist · Philadelphia, PA

Other providers in Tecumseh

• Shawn R Gerrity, PA-C

  Individual Physician Assistant · NPI 1043596760

  501 E Cummins St, Tecumseh, MI 49286 · (517) 423-2960

• Morgan Marie Monahan

  Individual Physician Assistant · NPI 1093356396

  501 E Chicago Blvd, Tecumseh, MI 49286-1515 · (313) 948-3055

• Mrs. Michelle Grace Streu, PA-C

  Individual Physician Assistant · NPI 1821284951

  6869 Occidental Hwy, Tecumseh, MI 49286 · (517) 423-4777