Nicole Davis Riordan, MD - Medicare Emergency Medicine in South Bend, IN

Nicole Davis Riordan, MD is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. She went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice South Bend Emergency Physicians Inc and her current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-7459.

Nicole Davis Riordan is licensed to practice in Indiana (license number 01065523A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407051634.

Contact Information

Nicole Davis Riordan, MD
615 N Michigan St,
South Bend, IN 46601-1033
(574) 647-7459
(574) 647-3658



Physician's Profile

Full NameNicole Davis Riordan
GenderFemale
SpecialityEmergency Medicine
Experience17 Years
Location615 N Michigan St, South Bend, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Davis Riordan attended and graduated from Indiana University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1407051634
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 06/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0547392391
  • Enrollment ID: I20100714001072

Medical Identifiers

Medical identifiers for Nicole Davis Riordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407051634NPI-NPPES
P00891626/CDOtherINRR MEDICARE
000000655105OtherINANTHEM
200981060MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01065523A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Community Hospital Of Bremen IncBremen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Bend Emergency Physicians Inc094128235444

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Davis Riordan allows following entities to bill medicare on her behalf.
Entity NameSouth Bend Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487132114
PECOS PAC ID: 0941282354
Enrollment ID: O20181212000947

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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. Nicole Davis Riordan 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 AddressPractice Location Address
Nicole Davis Riordan, MD
615 N Michigan St,
South Bend, IN 46601-1033

Ph: (574) 647-7167
Nicole Davis Riordan, MD
615 N Michigan St,
South Bend, IN 46601-1033

Ph: (574) 647-7459

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Emergency Medicine Doctors in South Bend, IN

Dr. Peter Ray Martin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 Park Ave, South Bend, IN 46616
Phone: 574-536-4151    
Benjamin Glines I, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Philip Richard Kavanagh, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
Cheryl Wibbens, MD, MBA
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-6525    Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
James Devereaux, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 E Lasalle Ave, South Bend, IN 46617
Phone: 574-282-8902    
Thomas Sweeney, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658

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