Dr Cameron R Gongwer, MD in South Bend, IN

Dr Cameron R Gongwer, MD is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He went to Indiana University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 4440 North Portage Avenue, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 204-6200.

Dr Cameron R Gongwer is licensed to practice in Indiana (license number 01038547A) 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 1710904321.

Contact Information

	Dr Cameron R Gongwer, MD
	4440 North Portage Avenue, South Bend, IN 46628-8579
	(574) 204-6200
	(574) 288-1426

Map and Direction

Physician's Profile

Full Name	Dr Cameron R Gongwer
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	4440 North Portage Avenue, South Bend, 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.

Medical Education and Training:

Dr Cameron R Gongwer attended and graduated from Indiana University School Of Medicine in 1989

NPI Data:

NPI Number: 1710904321
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/29/2016

Medicare PECOS Information:

PECOS PAC ID: 4981601044
Enrollment ID: I20061102000212

Medical Identifiers

Medical identifiers for Dr Cameron R Gongwer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710904321	NPI	-	NPPES
100092640	Medicaid	IN
01038547A	Other	IN	LICENSE
01038547B	Other	IN	CONTROLLED SUBSTANCE REG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01038547A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	173

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. Dr Cameron R Gongwer allows following entities to bill medicare on his behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Dr Cameron R Gongwer 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 Address	Practice Location Address
Dr Cameron R Gongwer, MD 4440 North Portage Avenue, South Bend, IN 46628-8579 Ph: (574) 204-6200	Dr Cameron R Gongwer, MD 4440 North Portage Avenue, South Bend, IN 46628-8579 Ph: (574) 204-6200

Reviews and Comments

Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 High St, South Bend, IN 46613 Phone: 574-647-1400 Fax: 574-237-6663
Louis Cavadini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9395 Fax: 574-204-6345
Dale Alan Patterson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477
Dr. Nicholas Harold Kerr, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094
Dr. Curtis L Gongwer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 North Portage Avenue, South Bend, IN 46628 Phone: 574-204-6200 Fax: 574-288-1426
Robert Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17321 State Road 23, South Bend, IN 46635 Phone: 574-335-8400 Fax: 574-335-0796
Matthew T. Dupre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655

Dr Cameron R Gongwer, MD - Medicare Family Practice in South Bend, IN