Dr Holly L Hake-harris, MD in South Bend, IN

Dr Holly L Hake-harris, MD is a medicare enrolled "Dermatology" physician in South Bend, Indiana. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice The South Bend Clinic Llc and her current practice location is 211 N Eddy St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 237-9231.

Dr Holly L Hake-harris is licensed to practice in Indiana (license number 01035334A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538159207.

Contact Information

	Dr Holly L Hake-harris, MD
	211 N Eddy St, South Bend, IN 46617-2808
	(574) 237-9231
	(574) 237-9208

Map and Direction

Physician's Profile

Full Name	Dr Holly L Hake-harris
Gender	Female
Speciality	Dermatology
Experience	42 Years
Location	211 N Eddy St, South Bend, 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.

Medical Education and Training:

Dr Holly L Hake-harris attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1982

NPI Data:

NPI Number: 1538159207
Provider Enumeration Date: 10/25/2005
Last Update Date: 02/04/2015

Medicare PECOS Information:

PECOS PAC ID: 1355438201
Enrollment ID: I20091203000603

Medical Identifiers

Medical identifiers for Dr Holly L Hake-harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538159207	NPI	-	NPPES
100090170	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01035334A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	174

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Holly L Hake-harris allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Holly L Hake-harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Holly L Hake-harris, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231	Dr Holly L Hake-harris, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231

Reviews and Comments

Dermatology Doctors in South Bend, IN

Linda Higginbotham, MD Dermatology Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Dr. Luiz C Pantalena Filho, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572
Dr. Cynthia E Mayfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410
Dr. Mary K Harder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208

Dr Holly L Hake-harris, MD - Medicare Dermatology in South Bend, IN