| Brandon William Zabukovic, MD | |
|
621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | |
| (574) 400-4550 | |
| (574) 400-4551 |
| Full Name | Brandon William Zabukovic |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 621 Memorial Dr Ste 402, South Bend, 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 |
|---|---|---|---|
| 1710962915 | NPI | - | NPPES |
| 000000488743 | Other | IN | BCBS MAIN STREET |
| 200455430 | Medicaid | IN | |
| P00406499 | Other | RR MEDICARE | |
| 000000483222 | Other | IN | BCBS BMG CENTRAL NEIGHBORHOOD CTR |
| 000000789419 | Other | IN | BCBS BMG CENTENNIAL NEIGHBORHOOD CTR |
| 000000488793 | Other | IN | BCBS BMG E BLAIR WARNER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01058060A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| La Porte Hospital | La porte, 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 | 479 |
| Primary Care Partners Of South Bend | 7810319712 | 4 |
| 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 |
| Entity Name | Healthlinc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
| Entity Name | Primary Care Partners Of South Bend |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497399927 PECOS PAC ID: 7810319712 Enrollment ID: O20200623001632 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon William Zabukovic, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Brandon William Zabukovic, MD 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 Ph: (574) 400-4550 |
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 |