| Dr Brian Michael Hughes, MD | |
|
211 N Eddy St, South Bend, IN 46617-2808 | |
| (574) 246-8816 | |
| Not Available |
| Full Name | Dr Brian Michael Hughes |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 211 N Eddy St, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326291915 | NPI | - | NPPES |
| 201118050 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 01071860 (Indiana) | Primary |
| 208600000X | Surgery | 036.121927 (Illinois) | Secondary |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Michael Hughes, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 246-8816 | Dr Brian Michael Hughes, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 246-8816 |
Dr. Vickie W Wipperman, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 19567 Cleveland Rd, South Bend, IN 46637 Phone: 574-277-7600 Fax: 574-277-7690 | |
Dr. Troy Bergin, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 19567 Cleveland Rd, South Bend, IN 46637 Phone: 574-277-7600 Fax: 574-277-7690 | |
Dr. Eric Paul Wohlrab, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2301 N Bendix Dr, Ste. 500, South Bend, IN 46628 Phone: 574-647-1675 |