- Medicare Primary Care in Plymouth, IN

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is a medicare enrolled primary clinic (Clinic/center) in Plymouth, Indiana. The current practice location for is 105 Water St, Plymouth, Indiana. For appointments, you can reach them via phone at (574) 936-3178. The mailing address for is Po Box 18187, Belfast, Maine and phone number is (574) 936-3178.

is licensed to practice in Indiana (license number 01063921A). The clinic also participates in the medicare program and its NPI number is 1225348584. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 936-3178.

Contact Information

105 Water St
Plymouth
IN 46563-2148
(574) 936-3178
(574) 936-1084

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location105 Water St, Plymouth, Indiana
Authorized Official Name and PositionCharlotte Pearish (OFFICE MANAGER)
Authorized Official Contact5749363178
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 18187
Belfast
ME 04915-4076

Ph: (574) 936-3178
105 Water St
Plymouth
IN 46563-2148

Ph: (574) 936-3178

NPI Details:

NPI Number1225348584
Provider Enumeration Date10/20/2010
Last Update Date02/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3779762968
Medicare Enrollment IDO20110120000021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225348584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 01063921A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameAhmad K El-samad
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1174559876
PECOS PAC ID: 2466458252
Enrollment ID: I20061208000096
Provider NameViraj Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093938979
PECOS PAC ID: 8123110376
Enrollment ID: I20070817000537
Provider NameEmaad Basith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689025108
PECOS PAC ID: 7618269341
Enrollment ID: I20210430002366
Provider NameSyed Karim
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497853634
PECOS PAC ID: 2567451966
Enrollment ID: I20240607001962
Provider NameSaad Mohsin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1043754310
PECOS PAC ID: 8426339656
Enrollment ID: I20240617000529
Provider NameWaqas Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316300247
PECOS PAC ID: 8426341322
Enrollment ID: I20240620002940
Provider NameAyeza Mohsin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1619235264
PECOS PAC ID: 4385948942
Enrollment ID: I20241014003788

Reviews and Comments


Clinic/Center in Plymouth, IN

Byron M. Holm, Md
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Medicare: Not Enrolled in Medicare
Practice Location: 2855 Miller Dr, Suite 117, Plymouth, IN 46563
Phone: 574-936-7777    Fax: 574-941-1072

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Medicare: Not Enrolled in Medicare
Practice Location: 504 Colonial Ct, Plymouth, IN 46563
Phone: 812-645-1892    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2855 Miller Dr Ste 117, Plymouth, IN 46563
Phone: 574-936-7777    Fax: 574-941-1072

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2349 Lake Ave Ste 99, Plymouth, IN 46563
Phone: 574-948-5340    Fax: 574-948-5494
Holm Medical Clinic Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2855 Miller Dr Ste 205, Plymouth, IN 46563
Phone: 574-286-0200    

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1919 Lake Ave Ste 102b, Plymouth, IN 46563
Phone: 574-335-6800    Fax: 574-948-5480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.