| Center For Medical Services Llc | |
|
211 N Cedar St Mishawaka IN 46545-6923 | |
| (574) 243-3100 | |
| Not Available |
| Full Name | Center For Medical Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 211 N Cedar St, Mishawaka, Indiana |
| Authorized Official Name and Position | Mark M Murray (PRESIDENT / CEO) |
| Authorized Official Contact | 5742433100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Medical Services Llc 501 Comfort Pl Mishawaka IN 46545-5234 Ph: (574) 243-3100 | Center For Medical Services Llc 211 N Cedar St Mishawaka IN 46545-6923 Ph: (574) 243-3100 |
| NPI Number | 1700544509 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Medicare PECOS PAC ID | 0042603599 |
|---|---|
| Medicare Enrollment ID | O20220207000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700544509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kathryn M Eash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124693 PECOS PAC ID: 6608169040 Enrollment ID: I20160722001857 |
| Provider Name | Catherine A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447260054 PECOS PAC ID: 8820097306 Enrollment ID: I20160729001925 |
| Provider Name | Matthew Robert Misner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366637555 PECOS PAC ID: 8224206149 Enrollment ID: I20181011002295 |
| Provider Name | Karissa M Misner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063566818 PECOS PAC ID: 4789743253 Enrollment ID: I20200408000290 |
| Provider Name | Alyssa N Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578194262 PECOS PAC ID: 5496178196 Enrollment ID: I20200714002453 |
| Provider Name | Stephanie Charnelle Ufkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407407406 PECOS PAC ID: 4486069788 Enrollment ID: I20210218002621 |
| Provider Name | Maureen T Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518601863 PECOS PAC ID: 1951798495 Enrollment ID: I20220502000155 |
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