| Blake Hood, DO | |
|
1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | |
| (574) 948-5170 | |
| (574) 948-5498 |
| Full Name | Blake Hood |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 1919 Lake Ave Ste 104, Plymouth, 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 |
|---|---|---|---|
| 1053730176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 02005665A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Porte Clinic Company Llc | 0446558357 | 68 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 138 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Hood, DO 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 948-5170 | Blake Hood, DO 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 Ph: (574) 948-5170 |
Nancy C Han, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 104, Plymouth, IN 46563 Phone: 574-948-5170 Fax: 574-948-5498 | |
Donald Joseph Faulkner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 Lake Ave Ste 102, Ste 102, Plymouth, IN 46563 Phone: 574-948-5170 Fax: 574-948-5498 | |
Samuel B Vanlandingham, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 Lake Ave, Suite 102, Plymouth, IN 46563 Phone: 574-941-2967 Fax: 574-941-2968 | |
Brian L Piazza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 104, Plymouth, IN 46563 Phone: 574-948-5170 Fax: 574-948-5498 | |
James Warren Dammon Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 Lake Ave, Suite 102, Plymouth, IN 46563 Phone: 574-948-5170 |