Bashar Ericsoossi, MD in Mishawaka, IN

Bashar Ericsoossi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mishawaka, Indiana. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kidney Medical Associates Pllc, Nephrology Physicians, Llc and his current practice location is 250 E Day Rd Ste 300, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 968-0283.

Bashar Ericsoossi is licensed to practice in Indiana (license number 01089928A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437312758.

Contact Information

	Bashar Ericsoossi, MD
	250 E Day Rd Ste 300, Mishawaka, IN 46545-3471
	(574) 968-0283
	(574) 968-0882

Map and Direction

Physician's Profile

Full Name	Bashar Ericsoossi
Gender	Male
Speciality	Nephrology
Experience	17 Years
Location	250 E Day Rd Ste 300, 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.

Medical Education and Training:

Bashar Ericsoossi graduated from medical school in 2007

NPI Data:

NPI Number: 1437312758
Provider Enumeration Date: 07/07/2008
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1355569609
Enrollment ID: I20160120001834

Medical Identifiers

Medical identifiers for Bashar Ericsoossi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437312758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	274622 (New York)	Secondary
207RN0300X	Internal Medicine - Nephrology	01089928A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kidney Medical Associates Pllc	5698071868	12
Nephrology Physicians, Llc	1850289273	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bashar Ericsoossi allows following entities to bill medicare on his behalf.

Entity Name	Advanced Access Medical Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689014987 PECOS PAC ID: 4082849716 Enrollment ID: O20131104001674

Entity Name	Kidney Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578933461 PECOS PAC ID: 5698071868 Enrollment ID: O20160315000505

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bashar Ericsoossi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bashar Ericsoossi, MD 1733 Eastchester Road, Suite 2, Bronx, NY 10461 Ph: (718) 409-2007	Bashar Ericsoossi, MD 250 E Day Rd Ste 300, Mishawaka, IN 46545-3471 Ph: (574) 968-0283

Reviews and Comments

Internal Medicine Doctors in Mishawaka, IN

Mini Sra, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Rafat H Ansari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-234-5123 Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545 Phone: 574-607-4724 Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-237-1328 Fax: 574-237-1348
Anandkumar M Koyani, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544 Phone: 574-256-0235 Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545 Phone: 574-204-7252 Fax: 574-968-0468

Bashar Ericsoossi, MD - Medicare Nephrology in Mishawaka, IN