Benjamin Glines I, DO in South Bend, IN - Medicare Emergency Medicine

Benjamin Glines I, DO is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Epmg Downriver Pllc, Emergency Professional Services, Inc. and his current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1000.

Benjamin Glines I is licensed to practice in Ohio (license number 34.017663) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174017180.

Contact Information

	Benjamin Glines I, DO
	615 N Michigan St, South Bend, IN 46601-1033
	(574) 647-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin Glines I
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	615 N Michigan St, 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.

Medical Education and Training:

Benjamin Glines I attended and graduated from Michigan State University College Of Osteopathic Medicine in 2018

NPI Data:

NPI Number: 1174017180
Provider Enumeration Date: 06/22/2018
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0941556930
Enrollment ID: I20210809002722

Medical Identifiers

Medical identifiers for Benjamin Glines I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174017180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	02006673A (Indiana)	Secondary
207P00000X	Emergency Medicine	5101026354 (Michigan)	Secondary
207P00000X	Emergency Medicine	34.017663 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Wyandotte Hospital	Wyandotte, MI	Hospital
Magruder Hospital	Port clinton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Epmg Downriver Pllc	6608038443	44
Emergency Professional Services, Inc.	7214832435	112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Glines I allows following entities to bill medicare on his behalf.

Entity Name	Farmington Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568496370 PECOS PAC ID: 6305732140 Enrollment ID: O20040302000665

Entity Name	Epmg Downriver Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093085441 PECOS PAC ID: 6608038443 Enrollment ID: O20120424000499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Glines I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Glines I, DO 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-1000	Benjamin Glines I, DO 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-1000

Reviews and Comments

Emergency Medicine Doctors in South Bend, IN

Dr. Peter Ray Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Park Ave, South Bend, IN 46616 Phone: 574-536-4151
Philip Richard Kavanagh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
Cheryl Wibbens, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6525 Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
James Devereaux, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-282-8902
Thomas Sweeney, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658

Benjamin Glines I, DO - Medicare Emergency Medicine in South Bend, IN