| Jonathan Neil Shenk, MD | |
|
5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | |
| (574) 335-5000 | |
| Not Available |
| Full Name | Jonathan Neil Shenk |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 5215 Holy Cross Pkwy, Mishawaka, 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 |
|---|---|---|---|
| 1164422002 | NPI | - | NPPES |
| P00238236 | Other | IN | RAIL ROAD MEDICARE |
| 200514100 | Medicaid | IN | |
| 000000361760 | Other | IN | ANTHEM |
| 104743238 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01060154 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Elite Emergency Physicians Inc | 8022087642 | 40 |
| Entity Name | Elite Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Neil Shenk, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 | Jonathan Neil Shenk, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kathleen Long, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795 | |
Kurtis Dejong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mariah Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mark Lawrence Kricheff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 |