| Dr Latoya Jeaneen Perry, MD | |
|
621 Memorial Dr Ste 100, South Bend, IN 46601-1063 | |
| (574) 647-1100 | |
| (574) 647-5907 |
| Full Name | Dr Latoya Jeaneen Perry |
|---|---|
| Gender | Female |
| Speciality | Gynecological Oncology |
| Experience | 18 Years |
| Location | 621 Memorial Dr Ste 100, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629255880 | NPI | - | NPPES |
| 300033075 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01083188A (Indiana) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 01083188A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Pulaski Memorial Hospital | Winamac, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Latoya Jeaneen Perry, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Dr Latoya Jeaneen Perry, MD 621 Memorial Dr Ste 100, South Bend, IN 46601-1063 Ph: (574) 647-1100 |
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 | |
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 | |
Nonyem Onujiogu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 100, South Bend, IN 46601 Phone: 574-647-1100 Fax: 574-647-5907 |