| Abhishek Das, MD | |
|
5314 Lincolnway E, Mishawaka, IN 46544-4249 | |
| (574) 256-9032 | |
| (574) 256-9049 |
| Full Name | Abhishek Das |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 15 Years |
| Location | 5314 Lincolnway E, 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 |
|---|---|---|---|
| 1932488665 | NPI | - | NPPES |
| 201374760 | Medicaid | IN | |
| 565800023 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 01077117A (Indiana) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 01077117A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Goshen Hospital | Goshen, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 580 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Abhishek Das, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Abhishek Das, MD 5314 Lincolnway E, Mishawaka, IN 46544-4249 Ph: (574) 256-9032 |
Dr. Ajit V Pai, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 3212 Hickory Rd, Suite B, Mishawaka, IN 46545 Phone: 574-251-0498 Fax: 574-251-0068 |