| Dr Kevin Scott Bodkin, DO | |
|
4900 Broadway, Gary, IN 46408-4605 | |
| (419) 696-6000 | |
| (419) 696-6018 |
| Full Name | Dr Kevin Scott Bodkin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 4900 Broadway, Gary, 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 |
|---|---|---|---|
| 1518123421 | NPI | - | NPPES |
| 2996530 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34009615 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 02005742A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 211 |
| Entity Name | Oak Street Health Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20150608000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Scott Bodkin, DO 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 | Dr Kevin Scott Bodkin, DO 4900 Broadway, Gary, IN 46408-4605 Ph: (419) 696-6000 |
Janet Seabrook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Adeyemi Oluremi Oyegbade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2269 W 25th Ave, Gary, IN 46404 Phone: 199-444-1872 Fax: 219-944-4186 | |
Geoffrey Okechukwu Onyeukwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Hanifa Waarith, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Broadway, Gary, IN 46407 Phone: 219-882-0980 | |
Melvin D Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Mr. Nathaniel T Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106 | |
Ms. Rachael L Ross, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106 |