William Anderson, MD | |
621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 | |
(574) 647-5875 | |
(515) 643-5802 |
Full Name | William Anderson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 621 Memorial Dr, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194177451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R10725 (Iowa) | Secondary |
208600000X | Surgery | 01088154A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
William Anderson, MD 3245 Health Drive, Suite 100, Granger, IN 46530-1380 Ph: (574) 647-1840 | William Anderson, MD 621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 Ph: (574) 647-5875 |
Marie E Unruh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210 | |
Dr. Robert G. Credi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 | |
Scott G Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 | |
Michael C Rotkis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1887 | |
George B Friend, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1888 | |
Daniel P. Srikureja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 |