Kirk Jon Bodach, MD in South Bend, IN - Medicare Family Practice

Kirk Jon Bodach, MD is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 615 N Michigan St Fl 1, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-3050.

Kirk Jon Bodach is licensed to practice in Indiana (license number 01065817A) 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 1306044003.

Contact Information

	Kirk Jon Bodach, MD
	615 N Michigan St Fl 1, South Bend, IN 46601-1033
	(574) 647-3050
	(574) 647-1094

Map and Direction

Physician's Profile

Full Name	Kirk Jon Bodach
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	615 N Michigan St Fl 1, 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:

Kirk Jon Bodach attended and graduated from Indiana University School Of Medicine in 2007

NPI Data:

NPI Number: 1306044003
Provider Enumeration Date: 07/05/2007
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2062545221
Enrollment ID: I20100809000847

Medical Identifiers

Medical identifiers for Kirk Jon Bodach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306044003	NPI	-	NPPES
M400050759	Other	IN	MEDICARE PTAN
P01050896	Other	IN	RR MEDICARE
200986910	Medicaid	IN
000000720320	Other	IN	BCBS MEMORIAL HOSPITALIST GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01065817A (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
Beacon Medical Group Inc	1254243306	444

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. Kirk Jon Bodach allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Kirk Jon Bodach 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
Kirk Jon Bodach, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Kirk Jon Bodach, MD 615 N Michigan St Fl 1, South Bend, IN 46601-1033 Ph: (574) 647-3050

Reviews and Comments

Family Medicine Doctors in South Bend, IN

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

Kirk Jon Bodach, MD - Medicare Family Practice in South Bend, IN