Brian L Piazza, MD | |
1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | |
(574) 948-5170 | |
(574) 948-5498 |
Full Name | Brian L Piazza |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 1919 Lake Ave Ste 104, Plymouth, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881703809 | NPI | - | NPPES |
200980180 | Medicaid | IN | |
3510115 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | BP056021 (Michigan) | Secondary |
208600000X | Surgery | 01066413A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Joseph Regional Medical Center Inc | 8325950843 | 101 |
Entity Name | Saint Joseph Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
Mailing Address | Practice Location Address |
---|---|
Brian L Piazza, MD 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Brian L Piazza, MD 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 Ph: (574) 948-5170 |
Donald Joseph Faulkner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 Lake Ave Ste 102, Ste 102, Plymouth, IN 46563 Phone: 574-948-5170 Fax: 574-948-5498 | |
Samuel B Vanlandingham, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 Lake Ave, Suite 102, Plymouth, IN 46563 Phone: 574-941-2967 Fax: 574-941-2968 | |
James Warren Dammon Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave, Suite 102, Plymouth, IN 46563 Phone: 574-948-5170 |