| Dr Mary Hope Griffin, MD | |
|
621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | |
| (574) 400-4550 | |
| (574) 400-4551 |
| Full Name | Dr Mary Hope Griffin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 621 Memorial Dr Ste 402, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659402220 | NPI | - | NPPES |
| 200969080 | Medicaid | IN | |
| 000000789444 | Other | IN | BCBS BMG CENTENNIAL |
| 000000640442 | Other | IN | BCBS BMG SOUTHEAST |
| 000000640863 | Other | IN | BCBS BMG CENTRAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01066608A (Indiana) | Primary |
| 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 | Primary Care Partners Of South Bend |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497399927 PECOS PAC ID: 7810319712 Enrollment ID: O20200623001632 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Hope Griffin, MD 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 Ph: (574) 400-4550 | Dr Mary Hope Griffin, MD 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 Ph: (574) 400-4550 |
Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895 | |
Asad Ansari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129 | |
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 | |
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351 | |
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248 | |
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 |