| Eric Tripp, MD | |
|
5215 Holy Cross Parkway, Mishawaka, IN 46545 | |
| (574) 335-5000 | |
| (574) 335-0760 |
| Full Name | Eric Tripp |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 34 Years |
| Location | 5215 Holy Cross Parkway, 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 |
|---|---|---|---|
| 1740222603 | NPI | - | NPPES |
| 100328400H | Medicaid | IN | |
| 000000334836 | Other | IN | BCBS |
| 000000687861 | Other | IN | BCBS |
| 100328400 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 4301102003 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 01040707 (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Tripp, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8172 | Eric Tripp, MD 5215 Holy Cross Parkway, Mishawaka, IN 46545 Ph: (574) 335-5000 |
Hamza Hanif, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2522 | |
Samer Hassna, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, St. Joseph Regional Medical Center, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Habiba Tariq, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, A2043, Mishawaka, IN 46545 Phone: 574-335-5000 Fax: 574-335-2262 |