| Mark M Walsh, MD | |
|
801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | |
| (574) 237-7111 | |
| (574) 273-1137 |
| Full Name | Mark M Walsh |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 801 E Lasalle, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427048099 | NPI | - | NPPES |
| 100318660 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01035916A (Indiana) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 01035916A (Indiana) | Primary |
| 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 | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| 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 |
|---|---|
| Mark M Walsh, MD 3371 Cleveland Rd, Suite 210, South Bend, IN 46628-9780 Ph: (574) 271-2558 | Mark M Walsh, MD 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 Ph: (574) 237-7111 |
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 | |
Thomas Sweeney, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658 |