| Dr Brent W Mohr, MD | |
|
211 N Eddy St, South Bend, IN 46617-2808 | |
| (574) 237-9331 | |
| (574) 239-1495 |
| Full Name | Dr Brent W Mohr |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 38 Years |
| Location | 211 N Eddy 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710977319 | NPI | - | NPPES |
| 100092630 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 01040434A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The South Bend Clinic Llc | 3779577937 | 160 |
| Entity Name | The South Bend Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent W Mohr, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9331 | Dr Brent W Mohr, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9331 |
Mayank Kumar Mittal, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Dr. Steven P. Crowell, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 | |
Muhammad Shakil Aslam, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Samuel Benjamin Huxley, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 | |
Waseem Barham, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Monika Niemiec, MD Rheumatology 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. Travis Weaver, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 |