| Dr Michele Safko Squires, MD | |
|
416 E Monroe St, Suite 200, South Bend, IN 46601-2360 | |
| (574) 232-8119 | |
| (574) 288-0235 |
| Full Name | Dr Michele Safko Squires |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 27 Years |
| Location | 416 E Monroe St, 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 |
|---|---|---|---|
| 1831176429 | NPI | - | NPPES |
| 200422280 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01054643A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Munson Medical Group | 8820277015 | 149 |
| Entity Name | Traverse Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013966506 PECOS PAC ID: 5597750091 Enrollment ID: O20040415000437 |
| Entity Name | Northern Anesthesia Providers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20060405000243 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710735287 PECOS PAC ID: 3072426287 Enrollment ID: O20250131002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michele Safko Squires, MD 416 E Monroe St, Suite 200, South Bend, IN 46601-2360 Ph: (574) 232-8119 | Dr Michele Safko Squires, MD 416 E Monroe St, Suite 200, South Bend, IN 46601-2360 Ph: (574) 232-8119 |
Dr. Fahimulla Z Shariff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Bryan R Wipperman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Ike Van Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Shane Michael Ditty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Ste. 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Dr. Ryan R. Sorrell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Daniel M Cooke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235 | |
Theresa R. Cruthird, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125 |