| Andrea Ramthun, DDS | |
|
1002 S Esther St, South Bend, IN 46615-1440 | |
| (574) 307-7673 | |
| (574) 234-4705 |
| Full Name | Andrea Ramthun |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1002 S Esther St, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841640521 | NPI | - | NPPES |
| 300016368 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901021848 (Michigan) | Secondary |
| 1223G0001X | Dentist - General Practice | 12012989A (Indiana) | Secondary |
| 122300000X | Dentist | 12012989A (Indiana) | Primary |
| Entity Name | Intercare Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Ramthun, DDS 1002 S Esther St, South Bend, IN 46615-1440 Ph: (574) 307-7673 | Andrea Ramthun, DDS 1002 S Esther St, South Bend, IN 46615-1440 Ph: (574) 307-7673 |
Dr. Richard Cohen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502 | |
Dr. Eugene Michael Feltman, DDS., MSD Dentist Medicare: Medicare Enrolled Practice Location: 225 N Notre Dame Ave, Suite 2, South Bend, IN 46617 Phone: 574-232-5866 | |
Dr. Bradley Richard Swanson, DDS MSD Dentist Medicare: Medicare Enrolled Practice Location: 54505 26th Street, Unit E, South Bend, IN 46635 Phone: 574-807-9050 | |
Dr. Russell A Murphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1329 N Ironwood Drive, South Bend, IN 46615 Phone: 574-271-7500 Fax: 574-271-6052 | |
Tracy Lynn Bacon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 906 E Washington St, South Bend, IN 46617 Phone: 574-282-1390 Fax: 574-282-1394 | |
Dr. Himabindu Gogeneni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3575 Portage Ave Ste A, South Bend, IN 46628 Phone: 574-349-2073 | |
Dr. Robert S. Austgen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502 |