| Benjamin Haberly, | |
|
53880 Carmichael Dr, South Bend, IN 46635-1567 | |
| (574) 247-9441 | |
| Not Available |
| Full Name | Benjamin Haberly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 53880 Carmichael 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 |
|---|---|---|---|
| 1679176200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 10003022A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Unity Medical And Surgical Hospital | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Central Indiana Orthopedics Llc | 5698667822 | 138 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Haberly, 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () - | Benjamin Haberly, 53880 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441 |
Autumn Axline, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Sean Robert Horner, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2411 Fax: 574-299-2410 | |
Gabriela L Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 | |
Ms. Cami Jo Kistenfeger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 745-247-9442 | |
Priya Kaur, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1245 E Ireland Rd, South Bend, IN 46614 Phone: 574-312-7022 | |
Carolyn M Barbus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 |