Mr Joel Wayne Coots, MPAS,PA-C - Physician Assistant in South Bend, IN

Mr Joel Wayne Coots, MPAS,PA-C is a Physician Assistant based in South Bend, Indiana. Mr Joel Wayne Coots is licensed to practice in Indiana (license number 10001120A) and his current practice location is 2301 N Bendix Dr, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 647-1675.

NPI number for Mr Joel Wayne Coots is 1235146945 and his current mailing address is 58 Tolstoy Trl, Valparaiso, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235146945.

Contact Information

Mr Joel Wayne Coots, MPAS,PA-C
2301 N Bendix Dr,
South Bend, IN 46628-3486
(574) 647-1675
(574) 232-5595



Provider's Profile

Full NameMr Joel Wayne Coots
GenderMale
SpecialityPhysician Assistant
Location2301 N Bendix Dr, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235146945
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 11/17/2015

Medical Identifiers

Medical identifiers for Mr Joel Wayne Coots such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235146945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10001120A (Indiana)Primary
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary

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. Mr Joel Wayne Coots 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
Mr Joel Wayne Coots, MPAS,PA-C
58 Tolstoy Trl,
Valparaiso, IN 46383-8937

Ph: (219) 707-5443
Mr Joel Wayne Coots, MPAS,PA-C
2301 N Bendix Dr,
South Bend, IN 46628-3486

Ph: (574) 647-1675

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Physician Assistant Nurses in South Bend, IN

Autumn Axline, PA
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Medicare: Not Enrolled in Medicare
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Phone: 574-234-8161    
Gabriela L Taylor, PA
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Ms. Cami Jo Kistenfeger, MPAS, PA-C
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Priya Kaur,
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Carolyn M Barbus, PA-C
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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
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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
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Medicare: Accepting Medicare Assignments
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    

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