| Randall J Bjork, MD | |
|
611 E Douglas Rd Ste 305, Mishawaka, IN 46545-1467 | |
| (574) 335-6450 | |
| (574) 335-0643 |
| Full Name | Randall J Bjork |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 47 Years |
| Location | 611 E Douglas Rd Ste 305, 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 |
|---|---|---|---|
| 1265434112 | NPI | - | NPPES |
| 01290188 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 29018 (Colorado) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD60987866 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| 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 |
|---|---|
| Randall J Bjork, MD 707 Cedar St Ste 200, Provider Services, South Bend, IN 46617-2057 Ph: (574) 335-8707 | Randall J Bjork, MD 611 E Douglas Rd Ste 305, Mishawaka, IN 46545-1467 Ph: (574) 335-6450 |
Dr. Benjamin Louis Troy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 East Day Road, Suite 160, Mishawaka, IN 46545 Phone: 574-271-8222 Fax: 574-271-8896 | |
Dr. Francisco Javier Gomez-dossi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Edduyn A Figueroa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 425 Park Place Cir Ste 150, Mishawaka, IN 46545 Phone: 574-273-2440 Fax: 574-273-2477 | |
Dr. Mark A Muckway, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643 | |
Dr. Anitha Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-6450 | |
Dr. Paula Toth-russell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545 Phone: 574-472-6700 Fax: 574-335-0643 |