| Dennis Patrick Erdman, MD | |
|
6913 N Main St, Granger, IN 46530-8039 | |
| (574) 647-1500 | |
| (574) 243-4306 |
| Full Name | Dennis Patrick Erdman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 6913 N Main St, Granger, 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 |
|---|---|---|---|
| 1710064241 | NPI | - | NPPES |
| 200346940 | Medicaid | IN | |
| 1710064241 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01054224A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Bend Emergency Physicians Inc | 0941282354 | 48 |
| Beacon Medical Group Inc | 1254243306 | 479 |
| Three Rivers Health System Inc | 8729245584 | 42 |
| 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 | South Bend Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Patrick Erdman, MD 3245 Health Dr, Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1840 | Dennis Patrick Erdman, MD 6913 N Main St, Granger, IN 46530-8039 Ph: (574) 647-1500 |
Patrick E Southe, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Wade Wenger, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 |