| Ismail Abbasi, MD | |
|
5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | |
| (574) 335-5000 | |
| Not Available |
| Full Name | Ismail Abbasi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427035989 | NPI | - | NPPES |
| 000000898827 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200009190 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01032923A (Indiana) | Primary |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail Abbasi, MD Po Box 6309, South Bend, IN 46660-6309 Ph: (574) 335-8700 | Ismail Abbasi, MD 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Nishaat Farooqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242 | |
Dr. Muhammad Shahzad Mumtaz Ansari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-4145 Fax: 574-335-4146 | |
Dr. Mikki-ann Simone Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy Fl 4, Mishawaka, IN 46545 Phone: 574-335-4145 | |
Marybeth Francis Mcclure, D0 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincoln Way W, Mishawaka, IN 46544 Phone: 574-259-5666 | |
Dr. Franklin Moncrief Dobson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Parkway, Mishawaka, IN 46545 Phone: 574-335-2309 Fax: 574-335-4146 | |
Maryjo Meier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242 Fax: 574-335-0758 |