Dr John Anthony Hudak, MD | |
6301 University Commons, Ste 350, South Bend, IN 46635-1571 | |
(574) 234-4100 | |
(574) 282-1739 |
Full Name | Dr John Anthony Hudak |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 44 Years |
Location | 6301 University Commons, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831194919 | NPI | - | NPPES |
264180DD | Other | IN | MEDICARE PTAN |
100357400 | Medicaid | IN | |
000000086163 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01033777A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Woodlawn Hospital | Rochester, IN | Hospital |
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 |
Entity Name | Allied Physicians Of Michiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468 |
Mailing Address | Practice Location Address |
---|---|
Dr John Anthony Hudak, MD 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 234-4100 | Dr John Anthony Hudak, MD 6301 University Commons, Ste 350, South Bend, IN 46635-1571 Ph: (574) 234-4100 |
Dr. Arthur Philip Depauw, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 Phone: 574-234-4100 Fax: 574-282-1739 | |
Dr. Scott Alan Blickensderfer, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 Phone: 574-234-4100 Fax: 574-282-1739 | |
Roger William Jump Iii, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 350, South Bend, IN 46635 Phone: 574-234-4800 Fax: 574-282-1739 | |
Dr. Kathleen Marie Delnay, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-4100 Fax: 574-282-1739 | |
Jeffrey C Cooper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-243-4450 Fax: 574-243-4405 | |
Dr. Mark Ernest Toth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Navarre Pl, Ste. 4400, South Bend, IN 46601 Phone: 574-647-4535 |