Warren D Bontrager, MD | |
416 E. Monroe St, Suite 200, South Bend, IN 46601-2360 | |
(574) 232-8119 | |
(574) 288-0235 |
Full Name | Warren D Bontrager |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 44 Years |
Location | 416 E. Monroe 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194702944 | NPI | - | NPPES |
200165400 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01030959 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Goshen Hospital | Goshen, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Anesthesiologists, Inc. | 6800837980 | 91 |
Entity Name | Southeast Anesthesiologists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210685 PECOS PAC ID: 6800837980 Enrollment ID: O20050518001265 |
Mailing Address | Practice Location Address |
---|---|
Warren D Bontrager, MD 416 E. Monroe St, Suite 200, South Bend, IN 46601-2360 Ph: (574) 232-8119 | Warren D Bontrager, MD 416 E. Monroe St, Suite 200, South Bend, IN 46601-2360 Ph: (574) 232-8119 |
Dr. Fahimulla Z Shariff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Bryan R Wipperman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Ike Van Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Shane Michael Ditty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Ste. 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Ryan R. Sorrell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Daniel M Cooke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Theresa R. Cruthird, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125 |