Jon Blake Chadwell, MD in South Bend, IN

Jon Blake Chadwell, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in South Bend, Indiana. He went to University Of Cincinnati College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 6301 University Commons, Suite 360, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 232-4800.

Jon Blake Chadwell is licensed to practice in Indiana (license number 01061815A) 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 1255380903.

Contact Information

	Jon Blake Chadwell, MD
	6301 University Commons, Suite 360, South Bend, IN 46635-1571
	(574) 232-4800
	(574) 280-4810

Map and Direction

Physician's Profile

Full Name	Jon Blake Chadwell
Gender	Male
Speciality	Otolaryngology
Experience	24 Years
Location	6301 University Commons, 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.

Medical Education and Training:

Jon Blake Chadwell attended and graduated from University Of Cincinnati College Of Medicine in 2000

NPI Data:

NPI Number: 1255380903
Provider Enumeration Date: 05/09/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5395773303
Enrollment ID: I20060711000067

Medical Identifiers

Medical identifiers for Jon Blake Chadwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255380903	NPI	-	NPPES
01061815A	Other	IN	INDIANA LICENSE
000000485851	Other	IN	ANTHEM PIN
200523340A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	01061815A (Indiana)	Primary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	43615 (Colorado)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	35 085143 (Ohio)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	39547 (Kentucky)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	174

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. Jon Blake Chadwell allows following entities to bill medicare on his behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

Entity Name	Allied Physicians Of Michiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468

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. Jon Blake Chadwell 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
Jon Blake Chadwell, MD 6301 University Commons, Suite 360, South Bend, IN 46635-1571 Ph: (574) 232-4800	Jon Blake Chadwell, MD 6301 University Commons, Suite 360, South Bend, IN 46635-1571 Ph: (574) 232-4800

Reviews and Comments

Otolaryngology Doctors in South Bend, IN

Adam Snoap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl, Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064
Douglas Liepert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 574-500-2010 Fax: 888-919-1083
Maher Abu-hamdan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810
Sonia Yuen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064
Stephen T Mctigue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810
Dr. David J Isaacson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064

Jon Blake Chadwell, MD - Medicare Otolaryngology in South Bend, IN