| Siarhei Slinko, | |
|
615 N Michigan St Fl 5, South Bend, IN 46601-1033 | |
| (574) 647-7275 | |
| Not Available |
| Full Name | Siarhei Slinko |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 615 N Michigan St Fl 5, 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 |
|---|---|---|---|
| 1356507636 | NPI | - | NPPES |
| 300061116 | Medicaid | IN | |
| 259900044 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 01087405A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Siarhei Slinko, 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Siarhei Slinko, 615 N Michigan St Fl 5, South Bend, IN 46601-1033 Ph: (574) 647-7275 |
Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895 | |
Asad Ansari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129 | |
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 | |
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351 | |
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248 | |
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 |