Mishawaka Osteopathic Clinic - Medicare Primary Care in Mishawaka, IN

Mishawaka Osteopathic Clinic is a medicare enrolled primary clinic (Family Medicine) in Mishawaka, Indiana. The current practice location for Mishawaka Osteopathic Clinic is 1207 Lincolnway W, Mishawaka, Indiana. For appointments, you can reach them via phone at (574) 255-4733. The mailing address for Mishawaka Osteopathic Clinic is 1207 Lincolnway W, Mishawaka, Indiana and phone number is (574) 255-4733.

Mishawaka Osteopathic Clinic is licensed to practice in Indiana (license number 02002716A). The clinic also participates in the medicare program and its NPI number is 1558621839. 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) 255-4733.

Contact Information

Mishawaka Osteopathic Clinic
1207 Lincolnway W
Mishawaka
IN 46544-1709
(574) 255-4733
(574) 255-4464

Primary Care Clinic Profile

Full NameMishawaka Osteopathic Clinic
SpecialityFamily Medicine
Location1207 Lincolnway W, Mishawaka, Indiana
Authorized Official Name and PositionLaura Lee Helman (OWNER)
Authorized Official Contact5742554733
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mishawaka Osteopathic Clinic
1207 Lincolnway W
Mishawaka
IN 46544-1709

Ph: (574) 255-4733
Mishawaka Osteopathic Clinic
1207 Lincolnway W
Mishawaka
IN 46544-1709

Ph: (574) 255-4733

NPI Details:

NPI Number1558621839
Provider Enumeration Date05/21/2012
Last Update Date05/21/2012

Medicare PECOS Information:

Medicare PECOS PAC ID0143483271
Medicare Enrollment IDO20120529000437

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Medical Identifiers

Medical identifiers for Mishawaka Osteopathic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558621839NPI-NPPES
201042380MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02002716A (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. Mishawaka Osteopathic Clinic acts as a billing entity for following providers:
Provider NameLaura L Helman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558313452
PECOS PAC ID: 7012957673
Enrollment ID: I20050503001358

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