Dr Scott Alan Blickensderfer, DO in South Bend, IN

Dr Scott Alan Blickensderfer, DO is a medicare enrolled "Urology" physician in South Bend, Indiana. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1987 and has 37 years of diverse experience with area of expertise as Urology. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 6301 University Commons, Ste 350, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 234-4100.

Dr Scott Alan Blickensderfer is licensed to practice in Indiana (license number 02001398A) 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 1578568572.

Contact Information

	Dr Scott Alan Blickensderfer, DO
	6301 University Commons, Ste 350, South Bend, IN 46635-1571
	(574) 234-4100
	(574) 282-1739

Map and Direction

Physician's Profile

Full Name	Dr Scott Alan Blickensderfer
Gender	Male
Speciality	Urology
Experience	37 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.

Medical Education and Training:

Dr Scott Alan Blickensderfer attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1987

NPI Data:

NPI Number: 1578568572
Provider Enumeration Date: 06/16/2005
Last Update Date: 03/06/2014

Medicare PECOS Information:

PECOS PAC ID: 9537209721
Enrollment ID: I20091219000021

Medical Identifiers

Medical identifiers for Dr Scott Alan Blickensderfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578568572	NPI	-	NPPES
0000000234054	Other		ANTHEM
264180V	Other	IN	MEDICARE PTAN
100093110	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	02001398A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital

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 Scott Alan Blickensderfer 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

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

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 Scott Alan Blickensderfer 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 Scott Alan Blickensderfer, DO 6301 University Commons, Ste 230, South Bend, IN 46635-1571 Ph: (574) 251-2100	Dr Scott Alan Blickensderfer, DO 6301 University Commons, Ste 350, South Bend, IN 46635-1571 Ph: (574) 234-4100

Reviews and Comments

Urology Doctors in South Bend, IN

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
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
Dr. John Anthony Hudak, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 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

Dr Scott Alan Blickensderfer, DO - Medicare Urology in South Bend, IN