Thomas L Poulin, MD - Medicare General Surgery in South Bend, IN

Thomas L Poulin, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in South Bend, Indiana. He went to Indiana University School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 100 Navarre Pl Ste 5500, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-5200.

Thomas L Poulin is licensed to practice in Indiana (license number 01023972A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497732556.

Contact Information

Thomas L Poulin, MD
100 Navarre Pl Ste 5500,
South Bend, IN 46601-1172
(574) 647-5200
Not Available



Physician's Profile

Full NameThomas L Poulin
GenderMale
SpecialityGeneral Surgery
Experience53 Years
Location100 Navarre Pl Ste 5500, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas L Poulin attended and graduated from Indiana University School Of Medicine in 1971
  NPI Data:
  • NPI Number: 1497732556
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153327986
  • Enrollment ID: I20091222000305

Medical Identifiers

Medical identifiers for Thomas L Poulin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497732556NPI-NPPES
100222350MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 01023972A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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. Thomas L Poulin allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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. Thomas L Poulin 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
Thomas L Poulin, MD
710 N Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610
Thomas L Poulin, MD
100 Navarre Pl Ste 5500,
South Bend, IN 46601-1172

Ph: (574) 647-5200

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Surgery Doctors in South Bend, IN

Marie E Unruh, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601
Phone: 574-647-5200    Fax: 574-647-5210
Dr. Robert G. Credi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878
Scott G Thomas, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878
Michael C Rotkis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr, South Bend, IN 46601
Phone: 574-236-1888    Fax: 574-236-1887
William Anderson, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 621 Memorial Dr, Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 515-643-5802
George B Friend, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 621 Memorial Dr, South Bend, IN 46601
Phone: 574-236-1888    Fax: 574-236-1888
Daniel P. Srikureja, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601
Phone: 574-647-5875    Fax: 574-647-5878

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