NPIMap

South Bend Medical Foundation Inc

A Medicare group practice based in South Bend, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971411349), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971411349The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
IN, MI
Enrollments
3
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 9 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20070928000255 IN Part B Supplier - Independent Clinical Laboratory 1649241084
O20050119000195 IN Part B Supplier - Clinic/Group Practice 1649241084
O20230530001885 MI Part B Supplier - Clinic/Group Practice 1922623305

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (14).

Sources for this page