Mrs Elizabeth Diane Schalliol, NP in South Bend, IN

Mrs Elizabeth Diane Schalliol, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in South Bend, Indiana. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 621 Memorial Dr Ste 302, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 367-3800.

Mrs Elizabeth Diane Schalliol is licensed to practice in Indiana (license number 71002043A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104973536.

Contact Information

	Mrs Elizabeth Diane Schalliol, NP
	621 Memorial Dr Ste 302, South Bend, IN 46601-1073
	(574) 367-3800
	(574) 367-3801

Map and Direction

Provider's Profile

Full Name	Mrs Elizabeth Diane Schalliol
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	621 Memorial Dr Ste 302, South Bend, 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.

Medical Education and Training:

Mrs Elizabeth Diane Schalliol graduated from nursing school in 2005

NPI Data:

NPI Number: 1104973536
Provider Enumeration Date: 01/05/2007
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9830280080
Enrollment ID: I20070802000403

Medical Identifiers

Medical identifiers for Mrs Elizabeth Diane Schalliol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104973536	NPI	-	NPPES
200866450	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	71002043A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital
Community Hospital Of Bremen Inc	Bremen, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	444

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Elizabeth Diane Schalliol allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth Diane Schalliol is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Elizabeth Diane Schalliol, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Mrs Elizabeth Diane Schalliol, NP 621 Memorial Dr Ste 302, South Bend, IN 46601-1073 Ph: (574) 367-3800

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Mrs Elizabeth Diane Schalliol, NP - Medicare Nurse Practitioner in South Bend, IN