Dr Timothy J Porsche, MD | |
2115 W Lexington Ave, Elkhart, IN 46514-1423 | |
(574) 296-3955 | |
(574) 296-3999 |
Full Name | Dr Timothy J Porsche |
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Gender | Male |
Speciality | Family Medicine |
Location | 2115 W Lexington Ave, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730184029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01030434A (Indiana) | Primary |
Entity Name | Elkhart Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164846945 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
Mailing Address | Practice Location Address |
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Dr Timothy J Porsche, MD Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3955 | Dr Timothy J Porsche, MD 2115 W Lexington Ave, Elkhart, IN 46514-1423 Ph: (574) 296-3955 |
Jason J Hix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Dr. David M Dyck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398 | |
Sam Joseph Borrelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25651 County Road 20, Elkhart, IN 46517 Phone: 574-522-1201 | |
Saadia Qasim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398 | |
Dr. Genevieve A Lankowicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 East Blvd, West Wing, Elkhart, IN 46514 Phone: 574-523-2751 Fax: 574-389-4840 | |
Lydia K Mertz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 608 Oakland Ave, Elkhart, IN 46516 Phone: 574-523-2127 Fax: 574-522-2192 | |
Susan Marie Moore-riesbeck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056 |