Dr Douglas Bolda, MD | |
3500 Franciscan Way, Michigan City, IN 46360-0021 | |
(219) 879-8511 | |
(219) 933-2288 |
Full Name | Dr Douglas Bolda |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3500 Franciscan Way, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174519458 | NPI | - | NPPES |
1174519458 | Medicaid | WI | |
200804530 | Medicaid | IN | |
000000391438 | Other | IN | ANTHEM, BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 77087 (Wisconsin) | Secondary |
207X00000X | Orthopaedic Surgery | 01048624A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Bolda, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Douglas Bolda, MD 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 879-8511 |
Dr. Neel Pramod Jain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 200, Michigan City, IN 46360 Phone: 219-861-8167 Fax: 219-872-8832 | |
Stephen Burns, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504 | |
Dr. Joel Charles Mcclurg, MD, PHD, FAAOS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Austin Ln, Michigan City, IN 46360 Phone: 607-438-8115 | |
Bernardo Israel Yahuaca, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504 | |
Thomas P Ryan, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave, Suite D, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504 | |
William C Biehl Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: Woodland Medical Pavilion, 8865 West 400 North, Suite 101, Michigan City, IN 46360 Phone: 219-872-2466 Fax: 219-872-2467 |