Jennifer L Lackman-chuppe, MD in South Bend, IN

Jennifer L Lackman-chuppe, MD is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. She went to Indiana University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice South Bend Emergency Physicians Inc and her current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-7459.

Jennifer L Lackman-chuppe is licensed to practice in Indiana (license number 01037290) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568428019.

Contact Information

	Jennifer L Lackman-chuppe, MD
	615 N Michigan St, South Bend, IN 46601-1087
	(574) 647-7459
	(574) 647-3658

Map and Direction

Physician's Profile

Full Name	Jennifer L Lackman-chuppe
Gender	Female
Speciality	Emergency Medicine
Experience	38 Years
Location	615 N Michigan St, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer L Lackman-chuppe attended and graduated from Indiana University School Of Medicine in 1986

NPI Data:

NPI Number: 1568428019
Provider Enumeration Date: 04/25/2006
Last Update Date: 12/12/2018

Medicare PECOS Information:

PECOS PAC ID: 2163579301
Enrollment ID: I20090406000213

Medical Identifiers

Medical identifiers for Jennifer L Lackman-chuppe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568428019	NPI	-	NPPES
930101010	Other	IN	RAIL ROAD MEDICARE
000000181682	Other	IN	ANTHEM
104340074	Medicaid	MI
100091200	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01037290 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Bend Emergency Physicians Inc	0941282354	44

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. Jennifer L Lackman-chuppe allows following entities to bill medicare on her behalf.

Entity Name	South Bend Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947

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. Jennifer L Lackman-chuppe 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 Address	Practice Location Address
Jennifer L Lackman-chuppe, MD 3371 Cleveland Road Ext, Suite 210, South Bend, IN 46628-9780 Ph: (574) 271-2558	Jennifer L Lackman-chuppe, MD 615 N Michigan St, South Bend, IN 46601-1087 Ph: (574) 647-7459

Reviews and Comments

Emergency Medicine Doctors in South Bend, IN

Rachel Ann Jennings, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Dr. Peter Ray Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Park Ave, South Bend, IN 46616 Phone: 574-536-4151
Benjamin Glines I, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Philip Richard Kavanagh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
Cheryl Wibbens, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6525 Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
James Devereaux, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-282-8902

Jennifer L Lackman-chuppe, MD - Medicare Emergency Medicine in South Bend, IN