Nicole Davis Riordan, MD | |
615 N Michigan St, South Bend, IN 46601-1033 | |
(574) 647-7459 | |
(574) 647-3658 |
Full Name | Nicole Davis Riordan |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 615 N Michigan St, South Bend, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407051634 | NPI | - | NPPES |
P00891626/CD | Other | IN | RR MEDICARE |
000000655105 | Other | IN | ANTHEM |
200981060 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01065523A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Bend Emergency Physicians Inc | 0941282354 | 45 |
Entity Name | South Bend Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
Mailing Address | Practice Location Address |
---|---|
Nicole Davis Riordan, MD 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-7167 | Nicole Davis Riordan, MD 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-7459 |
Dr. Peter Ray Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Park Ave, South Bend, IN 46616 Phone: 574-536-4151 | |
Benjamin Glines I, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Philip Richard Kavanagh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658 | |
Cheryl Wibbens, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6525 Fax: 574-647-6691 | |
Dr. Aoko Doris Crain, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658 | |
James Devereaux, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-282-8902 | |
Thomas Sweeney, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658 |