| Dr George R Drew, DO | |
|
5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | |
| (574) 335-5000 | |
| (574) 273-1137 |
| Full Name | Dr George R Drew |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639223605 | NPI | - | NPPES |
| 200922330 | Medicaid | IN | |
| 000000593395 | Other | IN | ANTHEM |
| P00671030 | Other | IN | RR MEDICARE |
| 930005546 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101009164 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 02003439 (Indiana) | Primary |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George R Drew, DO 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 | Dr George R Drew, DO 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kathleen Long, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795 | |
Jonathan Neil Shenk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kurtis Dejong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mariah Smith, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mark Lawrence Kricheff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 |