Mark Lawrence Kricheff, MD | |
5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | |
(574) 335-5000 | |
Not Available |
Full Name | Mark Lawrence Kricheff |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 30 Years |
Location | 5215 Holy Cross Pkwy, 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 |
---|---|---|---|
1265416721 | NPI | - | NPPES |
000000381040 | Other | IN | ANTHEM |
104838108 | Medicaid | MI | |
200464420 | Medicaid | IN | |
P00277831 | Other | IN | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01058250 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Emergency Physicians Inc | 8022087642 | 41 |
Entity Name | Elite Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
Mailing Address | Practice Location Address |
---|---|
Mark Lawrence Kricheff, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 | Mark Lawrence Kricheff, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kathleen Long, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795 | |
Jonathan Neil Shenk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kurtis Dejong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Karla Goulart Newbold, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 |