Dr Vincent Charles Henderson, MD | |
3575 Portage Rd, South Bend, IN 46628-6092 | |
(574) 647-4530 | |
(574) 647-4531 |
Full Name | Dr Vincent Charles Henderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3575 Portage Rd, South Bend, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275521452 | NPI | - | NPPES |
000000588530 | Other | IN | BCBS BMG E BLAIR WARNER |
080073934 | Other | IN | RR MEDICARE |
000000085144 | Other | IN | BCBS BMG MAIN ST |
200064640 | Medicaid | IN | |
000000085145 | Other | IN | BCBS BMG MEDPOINT IRELAND |
000000319907 | Other | IN | BCBS BMG PORTAGE RD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01033656A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Vincent Charles Henderson, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Dr Vincent Charles Henderson, MD 3575 Portage Rd, South Bend, IN 46628-6092 Ph: (574) 647-4530 |
Dr. Jon Andrew Shull, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 High St, South Bend, IN 46613 Phone: 574-647-1400 Fax: 574-237-6663 | |
Louis Cavadini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9395 Fax: 574-204-6345 | |
Dale Alan Patterson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 | |
Dr. Nicholas Harold Kerr, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Dr. Curtis L Gongwer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 North Portage Avenue, South Bend, IN 46628 Phone: 574-204-6200 Fax: 574-288-1426 | |
Robert Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17321 State Road 23, South Bend, IN 46635 Phone: 574-335-8400 Fax: 574-335-0796 | |
Matthew T. Dupre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655 |