| Terrence D Wilkin, MD | |
|
611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | |
| (574) 272-5347 | |
| (574) 272-8617 |
| Full Name | Terrence D Wilkin |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 28 Years |
| Location | 611 E Douglas Rd Ste 200, 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 |
|---|---|---|---|
| 1982656963 | NPI | - | NPPES |
| 4840231 | Medicaid | MI | |
| 201054420 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01048976A (Indiana) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01048976A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Radiology Associates Inc | 7315922267 | 219 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | X-ray Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770536815 PECOS PAC ID: 7315859832 Enrollment ID: O20031118000632 |
| Entity Name | Northern Indiana Magnetic Resonance Center, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447252200 PECOS PAC ID: 6709780802 Enrollment ID: O20031120000842 |
| 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 | Indiana University Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192665 PECOS PAC ID: 7315922267 Enrollment ID: O20040623001054 |
| 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 | Michiana Interventional And Vascular Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386375194 PECOS PAC ID: 1951784909 Enrollment ID: O20220824001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence D Wilkin, MD 121 S Saint Louis Blvd, South Bend, IN 46617-2924 Ph: (574) 233-3123 | Terrence D Wilkin, MD 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 Ph: (574) 272-5347 |
Samir B Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
James C Field, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 547-258-1100 Fax: 574-258-1101 | |
Mark J Ormson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
John C Hill, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Mary C Dynes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Francoise M Dion, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Christine Marsch O'malley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 |