| Kevin C Anderson, MD | |
|
100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | |
| (574) 647-5300 | |
| (574) 647-5305 |
| Full Name | Kevin C Anderson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 25 Years |
| Location | 100 Navarre Pl Ste 4440, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427150796 | NPI | - | NPPES |
| 300006370 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01079147A (Indiana) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 01079147A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional West Physicians Clinic | 2062301609 | 120 |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin C Anderson, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Kevin C Anderson, MD 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 Ph: (574) 647-5300 |
Dr. Ron Clark, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 | |
Gregg M Ebersole, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4440, South Bend, IN 46601 Phone: 574-647-5300 Fax: 574-647-5305 | |
Adam Joseph Cien, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
William Bernard Rozzi, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Dr. Tyler D Mcgregor, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Dr. Ethan Wren, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4440, South Bend, IN 46601 Phone: 574-647-5300 Fax: 574-647-5305 | |
Dr. John M. Kelbel, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 |