| Dr Thomas R Vanderheyden Jr, DO | |
|
17501 Generations Dr, South Bend, IN 46635-1589 | |
| (574) 234-0049 | |
| Not Available |
| Full Name | Dr Thomas R Vanderheyden Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 17501 Generations Dr, 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 |
|---|---|---|---|
| 1528222387 | NPI | - | NPPES |
| 000000777772 | Other | IN | ANTHEM |
| 201066120 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125-050866 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 02004009A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michiana Gastroenterology, Inc | 2163529892 | 11 |
| Entity Name | Michiana Gastroenterology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821094525 PECOS PAC ID: 2163529892 Enrollment ID: O20070515000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas R Vanderheyden Jr, DO 17501 Generations Dr, South Bend, IN 46635-1589 Ph: (574) 234-0049 | Dr Thomas R Vanderheyden Jr, DO 17501 Generations Dr, South Bend, IN 46635-1589 Ph: (574) 234-0049 |
Mayank Kumar Mittal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Dr. Steven P. Crowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 | |
Muhammad Shakil Aslam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Samuel Benjamin Huxley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 | |
Waseem Barham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Monika Niemiec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Dr. Travis Weaver, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 |