| Katherine Oleary, | |
|
611 E Douglas Rd Ste 408, Mishawaka, IN 46545-1468 | |
| (574) 335-6440 | |
| (574) 335-0806 |
| Full Name | Katherine Oleary |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 611 E Douglas Rd Ste 408, 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 |
|---|---|---|---|
| 1538695606 | NPI | - | NPPES |
| 1103118162 | Other | IN | ANTHEM BCBS |
| 300078656 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01089919A (Indiana) | Primary |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Oleary, 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Katherine Oleary, 611 E Douglas Rd Ste 408, Mishawaka, IN 46545-1468 Ph: (574) 335-6440 |
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 | |
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. Shawn Phillip Naranjo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
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 |