Memorial Hospital of South Bend

A Medicare group practice based in South Bend, IN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8123017126), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123017126The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040506000783 IN Part B Supplier - Clinic/Group Practice 1295772093
O20071213000267 IN Part A Provider - Hospital 1295772093
O20090309000478 IN Part A Provider - Hospital 1780564781

NPIs in this group 4

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (3).

Sources for this page