| Paul Daniel Judge, MD | |
|
611 E Douglas Rd Ste 203, Mishawaka, IN 46545-1467 | |
| (574) 335-6640 | |
| (574) 335-0621 |
| Full Name | Paul Daniel Judge |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 14 Years |
| Location | 611 E Douglas Rd Ste 203, 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 |
|---|---|---|---|
| 1184988685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301116557 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Lakeland Community Hospital Watervliet | 7416942750 | 41 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Daniel Judge, MD 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: () - | Paul Daniel Judge, MD 611 E Douglas Rd Ste 203, Mishawaka, IN 46545-1467 Ph: (574) 335-6640 |
Dr. Margaret Ann Walter, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15011 Day Road, Mishawaka, IN 46545 Phone: 574-855-4110 | |
John S Gilbert, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 810 Park Place, Mishawaka, IN 46545 Phone: 574-366-0240 Fax: 574-366-0218 | |
Dr. Erin Marie Kevern, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 810 Park Pl, Mishawaka, IN 46545 Phone: 574-366-0240 |