Sudeepta A Rakhra, DO | |
303 S Nappanee St, Elkhart, IN 46514-2066 | |
(574) 296-3200 | |
(574) 296-3921 |
Full Name | Sudeepta A Rakhra |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 303 S Nappanee St, Elkhart, 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 |
---|---|---|---|
1861599300 | NPI | - | NPPES |
036112098 | Medicaid | IL | |
200493650 | Medicaid | IN | |
P00171780 | Other | R/R MEDICARE | |
P00713419 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036112090 (Illinois) | Secondary |
207Q00000X | Family Medicine | 02003431A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elkhart Clinic, Llc | 2365341674 | 43 |
Entity Name | Elkhart Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164846945 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
Mailing Address | Practice Location Address |
---|---|
Sudeepta A Rakhra, DO Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3390 | Sudeepta A Rakhra, DO 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3200 |
Jason J Hix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Dr. David M Dyck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398 | |
Sam Joseph Borrelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25651 County Road 20, Elkhart, IN 46517 Phone: 574-522-1201 | |
Saadia Qasim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398 | |
Dr. Genevieve A Lankowicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 East Blvd, West Wing, Elkhart, IN 46514 Phone: 574-523-2751 Fax: 574-389-4840 | |
Lydia K Mertz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 608 Oakland Ave, Elkhart, IN 46516 Phone: 574-523-2127 Fax: 574-522-2192 | |
Susan Marie Moore-riesbeck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056 |