| Dr Glenn Scott Wheet, MD | |
|
900 Lincoln Way W, Mishawaka, IN 46544-1716 | |
| (574) 259-6937 | |
| (574) 259-6939 |
| Full Name | Dr Glenn Scott Wheet |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 900 Lincoln Way W, 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 |
|---|---|---|---|
| 1588700876 | NPI | - | NPPES |
| 000000350460 | Other | ANTHEM BCBS OFFICE (CORP) | |
| 000000350462 | Other | ANTHEM BCBS PROVIDER # | |
| 9364871 | Other | PHCS PROVIDER # | |
| 18977 | Other | PHPNI PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01048975A (Indiana) | Primary |
| Entity Name | Glenn S. Wheet, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316065444 PECOS PAC ID: 5092779272 Enrollment ID: O20041117000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Scott Wheet, MD 900 Lincoln Way W, Mishawaka, IN 46544-1716 Ph: (574) 259-6937 | Dr Glenn Scott Wheet, MD 900 Lincoln Way W, Mishawaka, IN 46544-1716 Ph: (574) 259-6937 |
Theodore R Neumann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545 Phone: 574-335-6580 | |
Dr. Josephine Schimizzi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1505 South Spring Street, Mishawaka, IN 46544 Phone: 574-255-0726 | |
Dale Dennis Deardorff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544 Phone: 574-247-3456 Fax: 574-247-3455 | |
Dr. Jack S. Bartoszek, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544 Phone: 574-252-3085 Fax: 574-252-5906 | |
Jennifer Anne Pennington, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544 Phone: 574-647-1900 Fax: 574-254-7222 | |
Lynn Day, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5209 Breezewood Dr, Mishawaka, IN 46544 Phone: 574-255-2838 | |
Daniel J Triezenberg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 420 W 4th St, Mishawaka, IN 46544 Phone: 219-462-7173 Fax: 574-307-7692 |