Mids, Llc - Medicare Primary Care in Mishawaka, IN

Mids, Llc is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Mishawaka, Indiana. The current practice location for Mids, Llc is 3838 N Main St Ste 1c, Mishawaka, Indiana. For appointments, you can reach them via phone at (574) 404-3980. The mailing address for Mids, Llc is 3838 N Main St Ste 1c, Mishawaka, Indiana and phone number is (574) 404-3980.

Mids, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366097016. 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) 404-3980.

Contact Information

Mids, Llc
3838 N Main St Ste 1c
Mishawaka
IN 46545-3100
(574) 404-3980
(574) 931-8601

Primary Care Clinic Profile

Full NameMids, Llc
SpecialityInternal Medicine
Location3838 N Main St Ste 1c, Mishawaka, Indiana
Authorized Official Name and PositionLloyd Schulman (OFFICE MANAGER)
Authorized Official Contact5742866802
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mids, Llc
3838 N Main St Ste 1c
Mishawaka
IN 46545-3100

Ph: (574) 404-3980
Mids, Llc
3838 N Main St Ste 1c
Mishawaka
IN 46545-3100

Ph: (574) 404-3980

NPI Details:

NPI Number1366097016
Provider Enumeration Date08/08/2019
Last Update Date08/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4688904501
Medicare Enrollment IDO20190919001012

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Medical Identifiers

Medical identifiers for Mids, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366097016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mids, Llc acts as a billing entity for following providers:
Provider NameAerie Kyung Chung
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1992960850
PECOS PAC ID: 5991939415
Enrollment ID: I20131015002195

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