Jon Blake Chadwell, MD | |
6301 University Commons, Suite 360, South Bend, IN 46635-1571 | |
(574) 232-4800 | |
(574) 280-4810 |
Full Name | Jon Blake Chadwell |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 24 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 |
---|---|---|---|
1255380903 | NPI | - | NPPES |
01061815A | Other | IN | INDIANA LICENSE |
000000485851 | Other | IN | ANTHEM PIN |
200523340A | Medicaid | IN |
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 |
---|---|
Jon Blake Chadwell, MD 6301 University Commons, Suite 360, South Bend, IN 46635-1571 Ph: (574) 232-4800 | Jon Blake Chadwell, MD 6301 University Commons, Suite 360, South Bend, IN 46635-1571 Ph: (574) 232-4800 |
Adam Snoap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl, Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Douglas Liepert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 574-500-2010 Fax: 888-919-1083 | |
Maher Abu-hamdan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Sonia Yuen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Stephen T Mctigue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Dr. David J Isaacson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 |