Dale Dennis Deardorff, MD - Family Medicine in Mishawaka, IN

Dale Dennis Deardorff, MD is a Family Medicine physician based in Mishawaka, Indiana. Dale Dennis Deardorff is licensed to practice in Indiana (license number 01025330) and his current practice location is 420 W 4th St, Suite 180, Mishawaka, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 247-3456.

NPI number for Dale Dennis Deardorff is 1043266653 and his current mailing address is Po Box 6309, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043266653.

Contact Information

Dale Dennis Deardorff, MD
420 W 4th St, Suite 180,
Mishawaka, IN 46544-1948
(574) 247-3456
(574) 247-3455



Physician's Profile

Full NameDale Dennis Deardorff
GenderMale
SpecialityFamily Medicine
Location420 W 4th St, Mishawaka, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043266653
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 02/23/2009

Medical Identifiers

Medical identifiers for Dale Dennis Deardorff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043266653NPI-NPPES
100220930AMedicaidIN
000000214800OtherINBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01025330 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale Dennis Deardorff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dale Dennis Deardorff, MD
Po Box 6309,
South Bend, IN 46660-6309

Ph: (574) 472-6700
Dale Dennis Deardorff, MD
420 W 4th St, Suite 180,
Mishawaka, IN 46544-1948

Ph: (574) 247-3456

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Family Medicine Doctors in Mishawaka, IN

Theodore R Neumann, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545
Phone: 574-335-6580    
Dr. Josephine Schimizzi, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1505 South Spring Street, Mishawaka, IN 46544
Phone: 574-255-0726    
James Mccarrey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    
Dr. Jack S. Bartoszek, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544
Phone: 574-252-3085    Fax: 574-252-5906
Dr. Lawrence R Curry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545
Phone: 574-256-2556    Fax: 574-258-4278
Jennifer Anne Pennington, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    Fax: 574-254-7222

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