Kevin Ray Baxter, DO | |
230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 | |
(574) 271-3939 | |
(574) 271-3941 |
Full Name | Kevin Ray Baxter |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 13 Years |
Location | 230 E Day Rd, Mishawaka, 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 |
---|---|---|---|
1609161686 | NPI | - | NPPES |
201292460 | Medicaid | IN | |
204460004 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 510109282 (Michigan) | Secondary |
207W00000X | Ophthalmology | 02004614A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michiana Eye Center Llc | 3173595634 | 12 |
Entity Name | Michiana Eye Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396722070 PECOS PAC ID: 3173595634 Enrollment ID: O20051208000136 |
Mailing Address | Practice Location Address |
---|---|
Kevin Ray Baxter, DO 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 Ph: (574) 271-3939 | Kevin Ray Baxter, DO 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 Ph: (574) 271-3939 |
Richard D Weiss, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Laura Anne Cavadini, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Dr. Molly Walsh, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 |