| Alejandro Mikelonis, PA-C | |
|
610 N Michigan St Ste 306, South Bend, IN 46601-1079 | |
| (574) 647-6500 | |
| (574) 647-6518 |
| Full Name | Alejandro Mikelonis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 610 N Michigan St Ste 306, 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 |
|---|---|---|---|
| 1801300330 | NPI | - | NPPES |
| 300008855 | Medicaid | IN | |
| 236040257 | Other | IN | MEDICARE PTAN |
| M59677010 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002386A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 452 |
| Mailing Address | Practice Location Address |
|---|---|
| Alejandro Mikelonis, PA-C 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Alejandro Mikelonis, PA-C 610 N Michigan St Ste 306, South Bend, IN 46601-1079 Ph: (574) 647-6500 |
Autumn Axline, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Gabriela L Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 | |
Ms. Cami Jo Kistenfeger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 745-247-9442 | |
Priya Kaur, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1245 E Ireland Rd, South Bend, IN 46614 Phone: 574-312-7022 | |
Carolyn M Barbus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 | |
Madeline Louise Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 |