| Jason R Grove, DPM | |
|
611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | |
| (574) 335-6800 | |
| (574) 335-0772 |
| Full Name | Jason R Grove |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 20 Years |
| Location | 611 E Douglas Rd Ste 101, Mishawaka, 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 |
|---|---|---|---|
| 1609040088 | NPI | - | NPPES |
| 000000592921 | Other | IN | BCBS BMG SCHWARTZ |
| 000000591890 | Other | IN | BCBS BMG LAPORTE |
| 738460026 | Other | IN | MEDICARE PIN |
| IN1933041 | Other | IN | MEDICARE PIN |
| 000000591888 | Other | IN | BCBS BMG MAIN STREET |
| 000000592923 | Other | IN | BCBS BMG IRELAND |
| 000000710624 | Other | IN | BCBS BMG BREMEN |
| P00656770 | Other | IN | RR MEDICARE |
| 000000630279 | Other | IN | BCBS BMG PORTAGE |
| 200912030 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.003447 (Ohio) | Secondary |
| 213E00000X | Podiatrist | 07001058A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center-south Bend Campus Inc | 3476451790 | 69 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Provider Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Provider Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Provider Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Grove, DPM 707 Cedar St Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8700 | Jason R Grove, DPM 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 Ph: (574) 335-6800 |
Dr N W Worden Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2206 Lincolnway E, Mishawaka, IN 46544 Phone: 574-258-5060 Fax: 574-258-5076 | |
Michael Salcedo Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545 Phone: 574-271-1030 Fax: 574-271-1032 | |
Cassandra Papak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd, Ste 406, Mishawaka, IN 46545 Phone: 574-335-6500 Fax: 574-335-0772 | |
Dr. N W Worden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2206 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-258-5060 Fax: 574-258-5076 | |
Michael Salcedo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 200, Mishawaka, IN 46545 Phone: 574-271-1030 Fax: 574-271-1032 | |
Micah Spencer, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 407, Mishawaka, IN 46545 Phone: 574-335-6500 |