Dwaine Siade, PA-C in South Bend, IN

Dwaine Siade, PA-C is a Physician Assistant based in South Bend, Indiana. Dwaine Siade is licensed to practice in Indiana (license number 10000778A) and his current practice location is 611 Lincoln Way East Suite 1, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 855-1090.

NPI number for Dwaine Siade is 1316167307 and his current mailing address is 611 Lincoln Way East Suite 1, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316167307.

Contact Information

	Dwaine Siade, PA-C
	611 Lincoln Way East Suite 1, South Bend, IN 46601
	(574) 855-1090
	(574) 855-4660

Map and Direction

Provider's Profile

Full Name	Dwaine Siade
Gender	Male
Speciality	Physician Assistant
Location	611 Lincoln Way East Suite 1, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1316167307
Provider Enumeration Date: 05/01/2007
Last Update Date: 08/23/2019

Medical Identifiers

Medical identifiers for Dwaine Siade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316167307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10000778A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dwaine Siade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dwaine Siade, PA-C 611 Lincoln Way East Suite 1, South Bend, IN 46601 Ph: (574) 855-1090	Dwaine Siade, PA-C 611 Lincoln Way East Suite 1, South Bend, IN 46601 Ph: (574) 855-1090

Reviews and Comments

Physician Assistant Nurses in South Bend, IN

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
Kelsey Wideman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655

Dwaine Siade, PA-C - Physician Assistant in South Bend, IN