Dr Holly L Hake-harris, MD | |
211 N Eddy St, South Bend, IN 46617-2808 | |
(574) 237-9231 | |
(574) 237-9208 |
Full Name | Dr Holly L Hake-harris |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 43 Years |
Location | 211 N Eddy St, South Bend, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538159207 | NPI | - | NPPES |
100090170 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01035334A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The South Bend Clinic Llc | 3779577937 | 173 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Holly L Hake-harris, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231 | Dr Holly L Hake-harris, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231 |
Linda Higginbotham, MD Dermatology Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355 | |
Dr. Luiz C Pantalena Filho, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 | |
Dr. Cynthia E Mayfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410 | |
Dr. Mary K Harder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208 |