Jason R Grove, DPM | |
611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | |
(574) 335-6800 | |
(574) 335-0772 |
Full Name | Jason R Grove |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 19 Years |
Location | 611 E Douglas Rd Ste 101, Mishawaka, 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 |
---|---|---|---|
1609040088 | NPI | - | NPPES |
000000592921 | Other | IN | BCBS BMG SCHWARTZ |
000000591890 | Other | IN | BCBS BMG LAPORTE |
738460026 | Other | IN | MEDICARE PIN |
IN1933041 | Other | IN | MEDICARE PIN |
000000591888 | Other | IN | BCBS BMG MAIN STREET |
000000592923 | Other | IN | BCBS BMG IRELAND |
000000710624 | Other | IN | BCBS BMG BREMEN |
P00656770 | Other | IN | RR MEDICARE |
000000630279 | Other | IN | BCBS BMG PORTAGE |
200912030 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.003447 (Ohio) | Secondary |
213E00000X | Podiatrist | 07001058A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Joseph Regional Medical Center-south Bend Campus Inc | 3476451790 | 57 |
Saint Joseph Regional Medical Center- Plymouth Campus Inc | 9537071337 | 16 |
Provider Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Provider Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Provider Name | Saint Joseph Regional Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
Mailing Address | Practice Location Address |
---|---|
Jason R Grove, DPM 707 Cedar St Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8700 | Jason R Grove, DPM 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 Ph: (574) 335-6800 |
Dr N W Worden Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2206 Lincolnway E, Mishawaka, IN 46544 Phone: 574-258-5060 Fax: 574-258-5076 | |
University Park Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545 Phone: 574-271-1030 Fax: 574-271-1032 | |
Ngan T Nguyen, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 101, Mishawaka, IN 46545 Phone: 574-335-6800 Fax: 574-335-0732 | |
Cassandra Papak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd, Ste 406, Mishawaka, IN 46545 Phone: 574-335-6500 Fax: 574-335-0772 | |
Dr. N W Worden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2206 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-258-5060 Fax: 574-258-5076 | |
Michael Salcedo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545 Phone: 574-271-1030 Fax: 574-271-1032 | |
Micah Spencer, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 407, Mishawaka, IN 46545 Phone: 574-335-6500 |