| Roger William Jump Iii, DO | |
|
6301 University Commons, Suite 350, South Bend, IN 46635-1571 | |
| (574) 234-4800 | |
| (574) 282-1739 |
| Full Name | Roger William Jump Iii |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 6301 University Commons, 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 |
|---|---|---|---|
| 1639467517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5101019480 (Michigan) | Secondary |
| 208800000X | Urology | 02004782A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Flint | Flint, MI | Hospital |
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Hurley Medical Center | Flint, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urological Services, Pllc | 9537207733 | 11 |
| Entity Name | Urological Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780631325 PECOS PAC ID: 9537207733 Enrollment ID: O20091109000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger William Jump Iii, DO 6301 University Commons, Suite 230, South Bend, IN 46635-1571 Ph: (574) 251-2100 | Roger William Jump Iii, DO 6301 University Commons, Suite 350, South Bend, IN 46635-1571 Ph: (574) 234-4800 |
Dr. Arthur Philip Depauw, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 Phone: 574-234-4100 Fax: 574-282-1739 | |
Dr. Scott Alan Blickensderfer, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 Phone: 574-234-4100 Fax: 574-282-1739 | |
Dr. Kathleen Marie Delnay, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-4100 Fax: 574-282-1739 | |
Dr. John Anthony Hudak, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Ste 350, South Bend, IN 46635 Phone: 574-234-4100 Fax: 574-282-1739 | |
Jeffrey C Cooper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-243-4450 Fax: 574-243-4405 | |
Dr. Mark Ernest Toth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Navarre Pl, Ste. 4400, South Bend, IN 46601 Phone: 574-647-4535 |