| South Bend At Oaklawn | |
|
415 E Madison St South Bend IN 46617-2322 | |
| (574) 234-9033 | |
| (574) 234-9059 |
| Full Name | South Bend At Oaklawn |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 E Madison St, South Bend, Indiana |
| Authorized Official Name and Position | Tracy J Nagel (CFO) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bend At Oaklawn 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | South Bend At Oaklawn 415 E Madison St South Bend IN 46617-2322 Ph: (574) 234-9033 |
| NPI Number | 1912327693 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20140703001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912327693 | NPI | - | NPPES |
| 100071250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ronald E Grow Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Indiana Ave, South Bend, IN 46613 Phone: 574-289-5049 Fax: 574-288-0840 | |
Physician Management Services Of Indiana Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617 Phone: 888-829-8550 | |
Mcdonald Physical Therapy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 Fax: 574-233-7406 | |
South Bend Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-299-2450 Fax: 574-299-2415 | |
Uthman Cavallo, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 53800 Generations Dr, South Bend, IN 46635 Phone: 574-273-3880 Fax: 574-271-0918 | |
Bendix Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Bendix Dr, South Bend, IN 46628 Phone: 574-245-4980 Fax: 574-245-4981 | |
Beacon Medical Group Ireland Road Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351 |