Michiana Internal Medicine Pc - Medicare Primary Care in Elkhart, IN

Michiana Internal Medicine Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Elkhart, Indiana. The current practice location for Michiana Internal Medicine Pc is 525 W Bristol St, Elkhart, Indiana. For appointments, you can reach them via phone at (574) 295-5900. The mailing address for Michiana Internal Medicine Pc is 525 W Bristol St, Elkhart, Indiana and phone number is (574) 295-5900.

Michiana Internal Medicine Pc is licensed to practice in Indiana (license number 50004928A). The clinic also participates in the medicare program and its NPI number is 1467571570. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 295-5900.

Contact Information

Michiana Internal Medicine Pc
525 W Bristol St
Elkhart
IN 46514-2964
(574) 295-5900
(574) 295-5922

Primary Care Clinic Profile

Full NameMichiana Internal Medicine Pc
SpecialityClinic/Center
Location525 W Bristol St, Elkhart, Indiana
Authorized Official Name and PositionIsrar Azim Siddiqi (PRESIDENT)
Authorized Official Contact5742955900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michiana Internal Medicine Pc
525 W Bristol St
Elkhart
IN 46514-2964

Ph: (574) 295-5900
Michiana Internal Medicine Pc
525 W Bristol St
Elkhart
IN 46514-2964

Ph: (574) 295-5900

NPI Details:

NPI Number1467571570
Provider Enumeration Date03/28/2007
Last Update Date01/09/2018

Medicare PECOS Information:

Medicare PECOS PAC ID2466543491
Medicare Enrollment IDO20070806000700

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Medical Identifiers

Medical identifiers for Michiana Internal Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467571570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 50004928A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Michiana Internal Medicine Pc acts as a billing entity for following providers:
Provider NameIsrar A Siddiqi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346289501
PECOS PAC ID: 6406834522
Enrollment ID: I20040713001276

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Provider NameBeth Ann Lockwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306297858
PECOS PAC ID: 3779865423
Enrollment ID: I20180404000265

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