Benjamin Glines I, DO - Medicare Emergency Medicine in South Bend, IN

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Benjamin Glines I, DO is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Farmington Emergency Medicine, Epmg Downriver Pllc, South Bend Emergency Physicians Inc and his current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1000.

Benjamin Glines I is licensed to practice in Indiana (license number 02006673A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174017180.

Contact Information

Benjamin Glines I, DO
615 N Michigan St,
South Bend, IN 46601-1033
(574) 647-1000
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Glines I
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location615 N Michigan St, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin Glines I attended and graduated from Michigan State University College Of Osteopathic Medicine in 2018
  NPI Data:
  • NPI Number: 1174017180
  • Provider Enumeration Date: 06/22/2018
  • Last Update Date: 12/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941556930
  • Enrollment ID: I20210809002722

Medical Identifiers

Medical identifiers for Benjamin Glines I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174017180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101026354 (Michigan)Secondary
207P00000XEmergency Medicine 02006673A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Henry Ford Wyandotte HospitalWyandotte, MIHospital
Community Hospital Of Bremen IncBremen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Farmington Emergency Medicine63057321405
Epmg Downriver Pllc660803844329
South Bend Emergency Physicians Inc094128235445

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Glines I allows following entities to bill medicare on his behalf.
Entity NameFarmington Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568496370
PECOS PAC ID: 6305732140
Enrollment ID: O20040302000665
Entity NameEpmg Downriver Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093085441
PECOS PAC ID: 6608038443
Enrollment ID: O20120424000499

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. Benjamin Glines I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benjamin Glines I, DO
615 N Michigan St,
South Bend, IN 46601-1033

Ph: (574) 647-1000		Benjamin Glines I, DO
615 N Michigan St,
South Bend, IN 46601-1033

Ph: (574) 647-1000

Reviews and Comments


Emergency Medicine Doctors in South Bend, IN

Dr. Peter Ray Martin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 Park Ave, South Bend, IN 46616
Phone: 574-536-4151    
Philip Richard Kavanagh, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
Cheryl Wibbens, MD, MBA
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-6525    Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
James Devereaux, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 E Lasalle Ave, South Bend, IN 46617
Phone: 574-282-8902    
Thomas Sweeney, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.