John M Decelles, MD in Mishawaka, IN - Medicare Internal Medicine

John M Decelles, MD is a medicare enrolled "Internal Medicine" physician in Mishawaka, Indiana. His current practice location is 611 E Douglas Rd, Suite 309, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 472-6450.

John M Decelles is licensed to practice in Indiana (license number 01051161) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841238490.

Contact Information

	John M Decelles, MD
	611 E Douglas Rd, Suite 309, Mishawaka, IN 46545-1467
	(574) 472-6450
	(574) 472-6474

Physician's Profile

Full Name	John M Decelles
Gender	Male
Speciality	Internal Medicine
Location	611 E Douglas Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841238490
Provider Enumeration Date: 06/04/2006
Last Update Date: 12/04/2009

Medicare PECOS Information:

PECOS PAC ID: 8628100773
Enrollment ID: I20170516000844

Medical Identifiers

Medical identifiers for John M Decelles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841238490	NPI	-	NPPES
000000215219	Other	IN	BCBS
200228210A	Medicaid	IN
021236800	Other	IN	FEDERAL BLACK LUNG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01051161 (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. John M Decelles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John M Decelles, MD Po Box 6309, South Bend, IN 46660-6309 Ph: (574) 472-6700	John M Decelles, MD 611 E Douglas Rd, Suite 309, Mishawaka, IN 46545-1467 Ph: (574) 472-6450

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Internal Medicine Doctors in Mishawaka, IN

Mini Sra, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Rafat H Ansari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-234-5123 Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545 Phone: 574-607-4724 Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-237-1328 Fax: 574-237-1348
Anandkumar M Koyani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544 Phone: 574-256-0235 Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545 Phone: 574-204-7252 Fax: 574-968-0468

John M Decelles, MD - Medicare Internal Medicine in Mishawaka, IN