Philip Richard Kavanagh, DO in South Bend, IN

Philip Richard Kavanagh, DO is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice South Bend Emergency Physicians Inc and his current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-7459.

Philip Richard Kavanagh is licensed to practice in Indiana (license number 02002062A) 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 1174600555.

Contact Information

	Philip Richard Kavanagh, DO
	615 N Michigan St, South Bend, IN 46601-1033
	(574) 647-7459
	(574) 647-3658

Map and Direction

Physician's Profile

Full Name	Philip Richard Kavanagh
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	615 N Michigan St, 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:

Philip Richard Kavanagh attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1995

NPI Data:

NPI Number: 1174600555
Provider Enumeration Date: 11/01/2006
Last Update Date: 02/02/2010

Medicare PECOS Information:

PECOS PAC ID: 0941345086
Enrollment ID: I20100301000767

Medical Identifiers

Medical identifiers for Philip Richard Kavanagh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174600555	NPI	-	NPPES
200252410	Medicaid	IN
4392339	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	02002062A (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
South Bend Emergency Physicians Inc	0941282354	45

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. Philip Richard Kavanagh allows following entities to bill medicare on his behalf.

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

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. Philip Richard Kavanagh 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
Philip Richard Kavanagh, DO 3355 Douglas Rd, Suite 300, South Bend, IN 46635-1781 Ph: () -	Philip Richard Kavanagh, DO 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-7459

Reviews and Comments

Emergency Medicine Doctors in South Bend, IN

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
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

Philip Richard Kavanagh, DO - Medicare Emergency Medicine in South Bend, IN