| Mr Joel Wayne Coots, MPAS,PA-C | |
|
2301 N Bendix Dr, South Bend, IN 46628-3486 | |
| (574) 647-1675 | |
| (574) 232-5595 |
| Full Name | Mr Joel Wayne Coots |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2301 N Bendix Dr, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235146945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001120A (Indiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joel Wayne Coots, MPAS,PA-C 58 Tolstoy Trl, Valparaiso, IN 46383-8937 Ph: (219) 707-5443 | Mr Joel Wayne Coots, MPAS,PA-C 2301 N Bendix Dr, South Bend, IN 46628-3486 Ph: (574) 647-1675 |
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 |