| Williard Mazhawidza, PA | |
|
13738 Chase St, Crown Point, IN 46307-9774 | |
| (270) 244-3829 | |
| Not Available |
| Full Name | Williard Mazhawidza |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 13738 Chase St, Crown Point, 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 |
|---|---|---|---|
| 1477923084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006594 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 10002653A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 137 |
| University Of Chicago | 7719899426 | 1674 |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Williard Mazhawidza, PA 13738 Chase St, Crown Point, IN 46307-9774 Ph: (270) 244-3829 | Williard Mazhawidza, PA 13738 Chase St, Crown Point, IN 46307-9774 Ph: (270) 244-3829 |
Morgan Klepinger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-852-1524 Fax: 219-933-2288 |
Michael Jason Bohney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 E 109th Ave, Crown Point, IN 46307 Phone: 219-921-1444 Fax: 219-921-5303 |
Heather C Upchurch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 W 94th Place, Crown Point, IN 46307 Phone: 219-662-8822 Fax: 219-662-8833 |
Alexandra Koontz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496 |
Eileen M Stulgis, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496 |
Nalini Kandallu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 |
Megan Groen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5521 W Lincoln Hwy Ste 1a, Crown Point, IN 46307 Phone: 219-769-1362 |