| Thomas P Moretti, PA-C | |
|
500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | |
| (574) 522-2284 | |
| (574) 522-3952 |
| Full Name | Thomas P Moretti |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 500 Arcade Ave, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447406426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001037A (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 |
| Entity Name | South Bend Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P Moretti, PA-C 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Thomas P Moretti, PA-C 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 Ph: (574) 522-2284 |
Ms. Christine Ankaret Rullo, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 230, Elkhart, IN 46514 Phone: 574-522-6565 Fax: 574-522-5572 |
Meredith Alcinda Mayfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 |
Mr. Anthony Houston Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160 |
Maria Schwindaman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25086 N Shore Dr, Elkhart, IN 46514 Phone: 574-309-8838 |
Ms. Judith Lynn Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 22818 Old Us 20, Community Occupational Medicine, Elkhart, IN 46516 Phone: 574-389-1231 Fax: 574-389-1232 |
Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd Ste A, Elkhart, IN 46514 Phone: 574-264-0791 |
Melissa Michelle Turner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 230, Elkhart, IN 46514 Phone: 574-522-6565 |