| David A Beatty, MD | |
|
2310 California Road, Elkhart, IN 46514-1228 | |
| (574) 264-4163 | |
| (574) 262-9650 |
| Full Name | David A Beatty |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 38 Years |
| Location | 2310 California Road, Elkhart, 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 |
|---|---|---|---|
| 1174534895 | NPI | - | NPPES |
| 200052420A | Medicaid | IN | |
| 200052420 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 01043610A (Indiana) | Primary |
| 207L00000X | Anesthesiology | 01043610A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic And Sports Medicine Center Of Northern Indiana Inc | 0840260105 | 47 |
| Entity Name | Orthopedic And Sports Medicine Center Of Northern Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Beatty, MD 2310 California Road, Elkhart, IN 46514-1228 Ph: (574) 264-4163 | David A Beatty, MD 2310 California Road, Elkhart, IN 46514-1228 Ph: (574) 264-4163 |
Dana Hoffman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St, Suite 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Dr. Jasveer Grewal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Beardsley Ave Ste 4b, Elkhart, IN 46514 Phone: 574-304-1519 Fax: 574-350-2441 | |
Yaksha Thakrar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3080 Windsor Ct Suite B, Elkhart, IN 46514 Phone: 574-266-7817 | |
Gregory Scott Nowak, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3080 Windsor Ct, Suite B, Elkhart, IN 46514 Phone: 574-266-7817 Fax: 574-266-7943 | |
Mr. Henry Coyne Woodward, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3232 Fax: 574-523-3234 | |
Gene W Grove, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 |