Northern Indiana Health Center is a
Physician Assistant based in South Bend, Indiana. Northern Indiana Health Center is licensed to practice in Indiana (license number ) and their current practice location is
2610 E Jefferson Blvd, South Bend, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 232-3000.
NPI number for Northern Indiana Health Center is 1457358418 and their current mailing address is 2610 E Jefferson Blvd, South Bend, Indiana. Northern Indiana Health Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457358418.
Healthcare Provider's Profile
| Full Name | Northern Indiana Health Center |
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| Type | Facility |
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| Speciality | Physician Assistant |
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| Location | 2610 E Jefferson Blvd, South Bend, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457358418
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Northern Indiana Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457358418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Indiana) | Primary |
| 207Q00000X | Family Medicine | (Indiana) | Primary |
| 225100000X | Physical Therapist | (Indiana) | Primary |
| 363A00000X | Physician Assistant | (Indiana) | Primary |
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. Northern Indiana Health Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northern Indiana Health Center
2610 E Jefferson Blvd,
South Bend, IN 46615-2724
Ph: (574) 232-3000 | Northern Indiana Health Center
2610 E Jefferson Blvd,
South Bend, IN 46615-2724
Ph: (574) 232-3000 |
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