| Viraj S Patel, MD | |
|
1904 Lake Ave, Plymouth, IN 46563-7828 | |
| (574) 936-3178 | |
| (574) 936-1084 |
| Full Name | Viraj S Patel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1904 Lake Ave, Plymouth, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093938979 | NPI | - | NPPES |
| 000000637334 | Other | IN | BC BS OF INDIANA |
| 000000669772 | Other | IN | ANTHEM BC BS |
| 200868150 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01063921A (Indiana) | Primary |
| Entity Name | Patel Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225348584 PECOS PAC ID: 3779762968 Enrollment ID: O20110120000021 |
| Entity Name | Healing Partners Plus Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063217545 PECOS PAC ID: 4284155425 Enrollment ID: O20250311002941 |
| Mailing Address | Practice Location Address |
|---|---|
| Viraj S Patel, MD 1904 Lake Ave, Plymouth, IN 46563-7828 Ph: (574) 936-3178 | Viraj S Patel, MD 1904 Lake Ave, Plymouth, IN 46563-7828 Ph: (574) 936-3178 |
Laura Elizabeth Blackford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave, Suite 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 | |
Dr. William T. Correll, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 106, Plymouth, IN 46563 Phone: 574-335-5220 Fax: 574-335-0859 | |
Rebecca M Brice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Rebecca M. Baker-palmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 | |
Abdul Sami Qazi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Craig B Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 |