| Scott Rutchik, MD | |
|
410 Park Pl Ste B, Mishawaka, IN 46545-3557 | |
| (574) 855-5800 | |
| (574) 855-5805 |
| Full Name | Scott Rutchik |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 35 Years |
| Location | 410 Park Pl Ste B, 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 |
|---|---|---|---|
| 1952356503 | NPI | - | NPPES |
| 200443540 | Medicaid | IN | |
| P00038154 | Other | IN | MEDICARE RAILROAD |
| 021236800 | Other | IN | FEDERAL BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01057389 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Unity Medical And Surgical Hospital | Mishawaka, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Indiana Llc | 2365341674 | 32 |
| Entity Name | Privia Medical Group Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568147809 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Rutchik, MD Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3200 | Scott Rutchik, MD 410 Park Pl Ste B, Mishawaka, IN 46545-3557 Ph: (574) 855-5800 |
Dr. Aimee Elise Rogers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 203, Mishawaka, IN 46545 Phone: 574-335-6830 Fax: 574-335-0855 | |
Can Talug, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 309, Mishawaka, IN 46545 Phone: 574-948-5390 |