Saint Joseph Regional Medical Center Inc

A Medicare group practice based in Mishawaka, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8325950843), with 203 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325950843The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
2
Group size
137 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 8 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040708000757 IN Part B Supplier - Clinic/Group Practice 1225082878
O20111004000191 IN DME Supplier - Pharmacy 1255369500

NPIs in this group 3

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 203

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (203) or whom Care Compare lists as members (137).

Sources for this page