Dwaine Siade, PA-C - Physician Assistant in South Bend, IN

Dwaine Siade, PA-C is a Physician Assistant based in South Bend, Indiana. Dwaine Siade is licensed to practice in Indiana (license number 10000778A) and his current practice location is 611 Lincoln Way East Suite 1, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 855-1090.

NPI number for Dwaine Siade is 1316167307 and his current mailing address is 611 Lincoln Way East Suite 1, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316167307.

Contact Information

Dwaine Siade, PA-C
611 Lincoln Way East Suite 1,
South Bend, IN 46601
(574) 855-1090
(574) 855-4660



Provider's Profile

Full NameDwaine Siade
GenderMale
SpecialityPhysician Assistant
Location611 Lincoln Way East Suite 1, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316167307
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 05/04/2024

Medical Identifiers

Medical identifiers for Dwaine Siade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316167307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10000778A (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. Dwaine Siade 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
Dwaine Siade, PA-C
611 Lincoln Way East Suite 1,
South Bend, IN 46601

Ph: (574) 855-1090
Dwaine Siade, PA-C
611 Lincoln Way East Suite 1,
South Bend, IN 46601

Ph: (574) 855-1090

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Physician Assistant Nurses in South Bend, IN

Autumn Axline, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-234-8161    
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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