Dr Jessica Marie Basham, MD in South Bend, IN - Medicare Obstetrics/gynecology

Dr Jessica Marie Basham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in South Bend, Indiana. She went to Indiana University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice The South Bend Clinic Llc and her current practice location is 515 N Lafayette Blvd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 232-2037.

Dr Jessica Marie Basham is licensed to practice in Indiana (license number 01078045A) 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 1164764890.

Contact Information

	Dr Jessica Marie Basham, MD
	515 N Lafayette Blvd, South Bend, IN 46601-1003
	(574) 232-2037
	(574) 232-1470

Map and Direction

Physician's Profile

Full Name	Dr Jessica Marie Basham
Gender	Female
Speciality	Obstetrics/gynecology
Experience	11 Years
Location	515 N Lafayette Blvd, 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 Jessica Marie Basham attended and graduated from Indiana University School Of Medicine in 2013

NPI Data:

NPI Number: 1164764890
Provider Enumeration Date: 03/20/2013
Last Update Date: 01/10/2018

Medicare PECOS Information:

PECOS PAC ID: 6608170717
Enrollment ID: I20170519000667

Medical Identifiers

Medical identifiers for Dr Jessica Marie Basham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164764890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01078045A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

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 Jessica Marie Basham 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

Entity Name	Healthlinc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929

Entity Name	Allied Physicians Of Michiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468

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 Jessica Marie Basham 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 Jessica Marie Basham, MD 6301 University Commons Ste 230, South Bend, IN 46635-1590 Ph: (574) 251-2100	Dr Jessica Marie Basham, MD 515 N Lafayette Blvd, South Bend, IN 46601-1003 Ph: (574) 232-2037

Reviews and Comments

Obstetrics & Gynecology Doctors in South Bend, IN

Dr. Rajendra Vito Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420
Kelly Wayne Mcguire, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6301 University Commons, Suite 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Sara A Baumgartner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Zhiquan Zhao, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, Ob/gyn Office, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-232-0741
Robert J Austin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1650 Fax: 574-647-1655
Dr. Thomas R Gruszynski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, Suite 616, South Bend, IN 46601 Phone: 574-234-2128 Fax: 574-234-4775
Daniel Francis Czarnecki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420

Dr Jessica Marie Basham, MD - Medicare Obstetrics/gynecology in South Bend, IN