| Gregg M Ebersole, MD | |
|
100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | |
| (574) 647-5300 | |
| (574) 647-5305 |
| Full Name | Gregg M Ebersole |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 14 Years |
| Location | 100 Navarre Pl Ste 4440, 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 |
|---|---|---|---|
| 1093000366 | NPI | - | NPPES |
| 300013151 | Medicaid | IN | |
| 261970087 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01079875A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Kokomo, IN | Home health agency |
| 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 |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg M Ebersole, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Gregg M Ebersole, MD 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 Ph: (574) 647-5300 |
Dr. Ron Clark, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 | |
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 |