| Dr Erin Marie Kevern, DO | |
|
810 Park Pl, Mishawaka, IN 46545-3520 | |
| (574) 366-0240 | |
| Not Available |
| Full Name | Dr Erin Marie Kevern |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 13 Years |
| Location | 810 Park Pl, Mishawaka, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902245194 | NPI | - | NPPES |
| 300014225 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 02005351A (Indiana) | Secondary |
| 207Y00000X | Otolaryngology | 5101020418 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Spectrum Health | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thomas W Pfennig Do | 2466520473 | 9 |
| Michigan Ear Nose Throat And Allergy Specialists Pc | 4183868094 | 37 |
| Entity Name | Thomas W Pfennig Do |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063639870 PECOS PAC ID: 2466520473 Enrollment ID: O20081003000541 |
| Entity Name | Michigan Ear Nose Throat And Allergy Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780029991 PECOS PAC ID: 4183868094 Enrollment ID: O20130916000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erin Marie Kevern, DO 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Dr Erin Marie Kevern, DO 810 Park Pl, Mishawaka, IN 46545-3520 Ph: (574) 366-0240 |
Dr. Margaret Ann Walter, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15011 Day Road, Mishawaka, IN 46545 Phone: 574-855-4110 | |
Paul Daniel Judge, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 203, Mishawaka, IN 46545 Phone: 574-335-6640 Fax: 574-335-0621 | |
John S Gilbert, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 810 Park Place, Mishawaka, IN 46545 Phone: 574-366-0240 Fax: 574-366-0218 |