| Enrique Eduardo Infante, MD | |
|
1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 | |
| (574) 293-2893 | |
| (574) 293-1298 |
| Full Name | Enrique Eduardo Infante |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 1215 Lawn Ave, Elkhart, 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 |
|---|---|---|---|
| 1194707117 | NPI | - | NPPES |
| 200908830 | Medicaid | IN | |
| 000000573936 | Other | IN | BCBS |
| 000000702255 | Other | IN | ANTHEM - WCCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301084601 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 01065587A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Surgeons And Physicians Llc | 2668539818 | 27 |
| Entity Name | Associated Surgeons And Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083868269 PECOS PAC ID: 2668539818 Enrollment ID: O20090316000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Eduardo Infante, MD Po Box 1887, Elkhart, IN 46515-1887 Ph: (574) 389-0542 | Enrique Eduardo Infante, MD 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 Ph: (574) 293-2893 |
Dr. Thalia Raya Pachiyannakis, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1545 Cassopolis St, Elkhart, IN 46514 Phone: 574-584-2501 | |
Dr. Rosalie L Mcbride, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2405 W Lexington Ave, Elkhart, IN 46514 Phone: 574-524-7575 Fax: 574-524-7576 | |
Martina A Green-mcgowan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 574-293-3744 | |
Jeffrey L. Cain, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 | |
Dr. Starla D Graber, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2405 West Lexington Avenue, Elkhart, IN 46514 Phone: 574-524-7575 Fax: 574-524-7576 | |
Kathrin Marie Parisi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 110, Elkhart, IN 46514 Phone: 574-524-7570 Fax: 574-524-7571 |