| Dr James Lee Shoemaker Jr, MD | |
|
600 East Blvd, Elkhart, IN 46514-2483 | |
| (574) 523-3160 | |
| Not Available |
| Full Name | Dr James Lee Shoemaker Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 600 East Blvd, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811079718 | NPI | - | NPPES |
| 200851620 | Medicaid | IN | |
| 000000504277 | Other | IN | ANTHEM |
| P00411868 | Other | IN | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01062988A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 4301083448 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Elite Emergency Physicians Inc | 8022087642 | 40 |
| Entity Name | Elite Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Lee Shoemaker Jr, MD Po Box 1241, South Bend, IN 46624-1241 Ph: (885) 691-9888 | Dr James Lee Shoemaker Jr, MD 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3160 |
Nicole S Brunette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-273-1137 | |
Matthew Terrence Michalski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160 | |
Dr. Jenna Renee Nofziger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 | |
Dr. Scott E Ludwig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-271-2558 | |
Randall J Cammenga, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-523-3221 | |
David Erazo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 | |
Ms. Halsey Anne Heinselman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 |