Autumn Axline, PA - Physician Assistant in South Bend, IN

Autumn Axline, PA is a Physician Assistant based in South Bend, Indiana. Autumn Axline is licensed to practice in * (Not Available) (license number ) and her current practice location is 211 N Eddy St, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 234-8161.

NPI number for Autumn Axline is 1003677964 and her current mailing address is 26621 Hamilton St, Edwardsburg, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003677964.

Contact Information

Autumn Axline, PA
211 N Eddy St,
South Bend, IN 46617-2808
(574) 234-8161
Not Available



Provider's Profile

Full NameAutumn Axline
GenderFemale
SpecialityPhysician Assistant
Location211 N Eddy St, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003677964
  • Provider Enumeration Date: 01/18/2024
  • Last Update Date: 01/18/2024

Medical Identifiers

Medical identifiers for Autumn Axline such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003677964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Autumn Axline 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
Autumn Axline, PA
26621 Hamilton St,
Edwardsburg, MI 49112-9691

Ph: (574) 855-9892
Autumn Axline, PA
211 N Eddy St,
South Bend, IN 46617-2808

Ph: (574) 234-8161

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› Verified 7 days ago


Physician Assistant Nurses in South Bend, IN

Gabriela L Taylor, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9294    
Ms. Cami Jo Kistenfeger, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    Fax: 745-247-9442
Priya Kaur,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1245 E Ireland Rd, South Bend, IN 46614
Phone: 574-312-7022    
Carolyn M Barbus, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    Fax: 574-247-9442
Ms. Megan Kathleen Maloney, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St., South Bend, IN 46617
Phone: 574-237-9294    Fax: 574-237-9259
Madeline Louise Ryan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    

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