Miles Burton Andrew, MD is a medicare enrolled "Dermatology" physician in Mishawaka, Indiana. He went to University Of Wisconsin School Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The South Bend Clinic Llc and his current practice location is
230 E Day Rd, Suite 130, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 335-7650.
Miles Burton Andrew is licensed to practice in Indiana (license number 01040450A) 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 1689692188.
Physician's Profile
Full Name | Miles Burton Andrew |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 34 Years |
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Location | 230 E Day Rd, Mishawaka, Indiana |
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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:
- Miles Burton Andrew attended and graduated from University Of Wisconsin School Of Medicine in 1991
NPI Data:
- NPI Number: 1689692188
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 3173509106
- Enrollment ID: I20040629000586
Medical Identifiers
Medical identifiers for Miles Burton Andrew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689692188 | NPI | - | NPPES |
100380840A | Medicaid | IN | |
100380840 | Medicaid | IN | |
000000889511 | Other | IN | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 01040450A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The South Bend Clinic Llc | 3779577937 | 173 |
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. Miles Burton Andrew allows following entities to bill medicare on his behalf.
Entity Name | The South Bend Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
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Entity Name | Applegarth Dermatology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619010626 PECOS PAC ID: 6305811514 Enrollment ID: O20040831001265 |
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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. Miles Burton Andrew 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 |
Miles Burton Andrew, MD 707 E Cedar St, Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8700 | Miles Burton Andrew, MD 230 E Day Rd, Suite 130, Mishawaka, IN 46545-3408 Ph: (574) 335-7650 |
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