Robert Lee, MD | |
53822 Generations Dr, South Bend, IN 46635-1543 | |
(574) 233-3711 | |
(574) 288-1702 |
Full Name | Robert Lee |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 32 Years |
Location | 53822 Generations Dr, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962401869 | NPI | - | NPPES |
4134100 | Medicaid | MI | |
200182540 | Medicaid | IN | |
200883090A | Medicaid | IN | |
000000093609 | Other | IN | BLUE SHIELD |
000000550384 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0107X | Ophthalmology - Retina Specialist | 01048726A (Indiana) | Secondary |
207W00000X | Ophthalmology | 01048726A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Entity Name | Retina & Vitreous Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093999609 PECOS PAC ID: 1759464449 Enrollment ID: O20080219000467 |
Mailing Address | Practice Location Address |
---|---|
Robert Lee, MD 53822 Generations Dr, South Bend, IN 46635-1543 Ph: (574) 233-3711 | Robert Lee, MD 53822 Generations Dr, South Bend, IN 46635-1543 Ph: (574) 233-3711 |
Thomas L Hauch, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 53822 Generations Dr, South Bend, IN 46635 Phone: 574-233-3711 Fax: 574-288-1702 | |
Dr. Ersalan A Rahman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9334 Fax: 574-239-1569 | |
Dr. Steve L Gerber, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 707 N Michigan St, Ste 210, South Bend, IN 46601 Phone: 574-233-2114 Fax: 574-288-8921 | |
Dr. Susan E Park, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9334 Fax: 574-239-1569 | |
Eric Younghee Yoon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 707 North Michigan Street, Suite 210, South Bend, IN 46601 Phone: 574-233-2114 Fax: 574-288-8921 | |
Dr. Bruce H Schwartz, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 707 N Michigan St Ste 210, South Bend, IN 46601 Phone: 574-233-2114 Fax: 574-288-8921 | |
Dr. Martyn A Wills, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9334 Fax: 574-239-1569 |