Linda Higginbotham, MD | |
211 N Eddy St, South Bend, IN 46617-2808 | |
(574) 237-9231 | |
(574) 204-6355 |
Full Name | Linda Higginbotham |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 211 N Eddy St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134189053 | NPI | - | NPPES |
000000699107 | Other | IN | ANTHEM PROVIDER NUMBER |
000000733964 | Other | IN | ANTHEM BCBS PIN |
50842 | Other | MI | OMNICARE HEALTH PLAN |
3093970 | Medicaid | MI | |
070H263730 | Other | MI | BCBSM/BCN |
447756 | Other | MI | AETNA |
142732 | Other | MI | GREAT LAKES HELATH PLAN |
201035670 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | LH044277 (Michigan) | Secondary |
207N00000X | Dermatology | 01069131A (Indiana) | Primary |
207N00000X | Dermatology | G53699 (California) | Secondary |
Entity Name | Csi Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
Mailing Address | Practice Location Address |
---|---|
Linda Higginbotham, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231 | Linda Higginbotham, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231 |
Dr. Luiz C Pantalena Filho, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 | |
Dr. Holly L Hake-harris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208 | |
Dr. Cynthia E Mayfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410 | |
Dr. Mary K Harder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208 |