| Dr Mark A Muckway, MD | |
|
611 E Douglas Rd Ste 305, Mishawaka, IN 46545-1467 | |
| (574) 335-6450 | |
| (574) 335-0643 |
| Full Name | Dr Mark A Muckway |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 35 Years |
| Location | 611 E Douglas Rd Ste 305, Mishawaka, 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 |
|---|---|---|---|
| 1265521652 | NPI | - | NPPES |
| 1102409327 | Other | IN | ANTHEM |
| 200020160 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01039796A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Health System Inc | 2163336967 | 1196 |
| Saint Joseph Regional Medical Center-south Bend Campus Inc | 3476451790 | 69 |
| Hendricks County Hospital | 4880505528 | 307 |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Hendricks County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536163 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Muckway, MD 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707 | Dr Mark A Muckway, MD 611 E Douglas Rd Ste 305, Mishawaka, IN 46545-1467 Ph: (574) 335-6450 |
Dr. Benjamin Louis Troy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 East Day Road, Suite 160, Mishawaka, IN 46545 Phone: 574-271-8222 Fax: 574-271-8896 | |
Dr. Francisco Javier Gomez-dossi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Randall J Bjork, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Edduyn A Figueroa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 425 Park Place Cir Ste 150, Mishawaka, IN 46545 Phone: 574-273-2440 Fax: 574-273-2477 | |
Dr. Anitha Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-6450 | |
Dr. Paula Toth-russell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545 Phone: 574-472-6700 Fax: 574-335-0643 |