| Dr Ron Clark, MD | |
|
211 N Eddy St, South Bend, IN 46617-2808 | |
| (574) 237-9294 | |
| (574) 237-9259 |
| Full Name | Dr Ron Clark |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 211 N Eddy St, South Bend, 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 |
|---|---|---|---|
| 1073511598 | NPI | - | NPPES |
| 000000492324 | Other | IN | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01051209A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Entity Name | The Bone And Joint Center Of Yuma, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013270354 PECOS PAC ID: 6406002815 Enrollment ID: O20120816000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ron Clark, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9294 | Dr Ron Clark, MD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9294 |
Gregg M Ebersole, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4440, South Bend, IN 46601 Phone: 574-647-5300 Fax: 574-647-5305 | |
Adam Joseph Cien, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
William Bernard Rozzi, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Dr. Tyler D Mcgregor, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Dr. Ethan Wren, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4440, South Bend, IN 46601 Phone: 574-647-5300 Fax: 574-647-5305 | |
Dr. John M. Kelbel, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 |