Dr Adam Eric Perlmutter, DO | |
1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | |
(574) 948-5390 | |
(574) 948-5473 |
Full Name | Dr Adam Eric Perlmutter |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 22 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 |
---|---|---|---|
1235270067 | NPI | - | NPPES |
200905870 | Medicaid | IN | |
02883416 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2040 (West Virginia) | Secondary |
208800000X | Urology | 244682 (New York) | Secondary |
208800000X | Urology | 02003333A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
Northwest Health - Porter | Valparaiso, IN | Hospital |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rci (wrs), Llc. | 5092624510 | 328 |
Saint Joseph Regional Medical Center Inc | 8325950843 | 101 |
Uro Surgery Associates Llc | 8628975562 | 12 |
Entity Name | Uro Surgery Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648566 PECOS PAC ID: 8628975562 Enrollment ID: O20031217000998 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | The Methodist Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
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 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Eric Perlmutter, DO 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Dr Adam Eric Perlmutter, DO 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 Ph: (574) 948-5390 |