Hubert Fornalik, MD - Medicare Gynecological Oncology in Mishawaka, IN

  1. Home
  2. Obstetrics & Gynecology
  3. IN
  4. Mishawaka
Hubert Fornalik, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Mishawaka, Indiana. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Gynecological Oncology. He is a member of the group practice Community Care Network Inc, Northwest Cancer Centers, P.c., Lutheran Medical Group Llc, The Methodist Hospitals Inc and his current practice location is 5340 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 237-1328.

Hubert Fornalik is licensed to practice in Indiana (license number 01067752A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255549812.

Contact Information

Hubert Fornalik, MD
5340 Holy Cross Pkwy,
Mishawaka, IN 46545-1470
(574) 237-1328
Not Available

Map and Direction




Physician's Profile

Full NameHubert Fornalik
GenderMale
SpecialityGynecological Oncology
Experience24 Years
Location5340 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hubert Fornalik graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1255549812
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 05/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224119128
  • Enrollment ID: I20100730000661

Medical Identifiers

Medical identifiers for Hubert Fornalik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255549812NPI-NPPES
200978000MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 37108 (Iowa)Secondary
207V00000XObstetrics & Gynecology 01067752A (Indiana)Secondary
207V00000XObstetrics & Gynecology MT181806 (Pennsylvania)Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology 01067752A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community HospitalMunster, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital
St Mary Medical Center IncHobart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Care Network Inc3678737012360
Northwest Cancer Centers, P.c.458755347424
Lutheran Medical Group Llc4981751617261
The Methodist Hospitals Inc963806389489

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hubert Fornalik allows following entities to bill medicare on his behalf.
Entity NameThe Methodist Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124283858
PECOS PAC ID: 9638063894
Enrollment ID: O20040303000549
Entity NameNorthwest Cancer Centers, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578527826
PECOS PAC ID: 4587553474
Enrollment ID: O20040310001213
Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705
Entity NameCommunity Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hubert Fornalik is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hubert Fornalik, MD
100 E Wayne St Ste 510,
South Bend, IN 46601-2394

Ph: (574) 334-5400		Hubert Fornalik, MD
5340 Holy Cross Pkwy,
Mishawaka, IN 46545-1470

Ph: (574) 237-1328

Reviews and Comments


Obstetrics & Gynecology Doctors in Mishawaka, IN

Asad U. Sheikh, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd, Suite 408, Mishawaka, IN 46545
Phone: 574-335-6440    Fax: 574-335-0608
Dr. Jodi Carbone,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 212 W Edison Rd, Suite F, Mishawaka, IN 46545
Phone: 574-257-0621    Fax: 574-257-0641
Katherine Oleary,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 611 E Douglas Rd Ste 408, Mishawaka, IN 46545
Phone: 574-335-6440    Fax: 574-335-0806
David William Parker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd, Suite 408, Mishawaka, IN 46545
Phone: 574-335-6440    Fax: 574-333-5060
Dr. Neil James Sink, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd Ste 408, Mishawaka, IN 46545
Phone: 574-335-6440    Fax: 574-335-0806

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.