| Dr Adam Eric Perlmutter, DO | |
|
1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | |
| (574) 948-5390 | |
| (574) 948-5473 |
| Full Name | Dr Adam Eric Perlmutter |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 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 |
|---|---|---|---|
| 1235270067 | NPI | - | NPPES |
| 200905870 | Medicaid | IN | |
| 02883416 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2040 (West Virginia) | Secondary |
| 208800000X | Urology | 244682 (New York) | Secondary |
| 208800000X | Urology | 02003333A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 355 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Uro Surgery Associates Llc | 8628975562 | 14 |
| Entity Name | Uro Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648566 PECOS PAC ID: 8628975562 Enrollment ID: O20031217000998 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adam Eric Perlmutter, DO 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Dr Adam Eric Perlmutter, DO 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 Ph: (574) 948-5390 |