| Bethany Ann Wait, DO | |
|
1901 W Western Ave Ste B, South Bend, IN 46619-3521 | |
| (574) 234-9033 | |
| (574) 847-7200 |
| Full Name | Bethany Ann Wait |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1901 W Western Ave Ste B, South Bend, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447458096 | NPI | - | NPPES |
| 02003383A | Other | IN | PHYSICIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02003383A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Health Centers Inc | 3971599473 | 46 |
| Entity Name | Heart City Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720033418 PECOS PAC ID: 9931008380 Enrollment ID: O20040105000515 |
| Entity Name | Indiana Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
| Entity Name | Goshen Family Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033292735 PECOS PAC ID: 9739118308 Enrollment ID: O20050804000771 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Ann Wait, DO 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Bethany Ann Wait, DO 1901 W Western Ave Ste B, South Bend, IN 46619-3521 Ph: (574) 234-9033 |
Dr. Jon Andrew Shull, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 High St, South Bend, IN 46613 Phone: 574-647-1400 Fax: 574-237-6663 | |
Louis Cavadini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9395 Fax: 574-204-6345 | |
Dale Alan Patterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 | |
Dr. Nicholas Harold Kerr, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Dr. Curtis L Gongwer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 North Portage Avenue, South Bend, IN 46628 Phone: 574-204-6200 Fax: 574-288-1426 | |
Robert Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17321 State Road 23, South Bend, IN 46635 Phone: 574-335-8400 Fax: 574-335-0796 | |
Matthew T. Dupre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655 |