MARY FRANCES BACSIK (NPI# 1578082582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578082582 |
| Entity Type | Individual |
| Full Name | MARY FRANCES BACSIK |
| Credential | PA |
| Practice Address |
500 Arcade Ave Ste 230 Elkhart IN 46514-2485 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5745226565 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002355A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PENDING | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 236040252 | 01 |
| IN | MEDICARE PTAN | M59677008 | 01 |
| IN | 300008182 | 05 |
| Street Address |
500 ARCADE AVE STE 230 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053486191 | Walter Henry Halloran | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485 | 2006-11-22 |
| 1841582087 | Beacon Medical Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485 | 2011-05-06 |
| 1932367083 | Amjad Q Syed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861640674 | Haley R Mccammon | Physician Assistant | 411 Sunset St, Elkhart, KS 67950-5001 | 2008-09-04 |
| 1124115795 | Judith Lynn Smith | Physician Assistant | 22818 Old Us 20, Community Occupational Medicine, Elkhart, IN 46516 | 2006-10-06 |
| 1093779969 | Joel Wade Howell | Physician Assistant | 313 W Parker St, Elkhart, TX 75839 | 2006-04-17 |
| 1750387668 | Brenda Gayle Bachmann | Physician Assistant | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2005-06-24 |
| 1497362636 | Sarah Nicole Kosinski | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2020-09-30 |
| 1063066108 | Anthony Houston II | Physician Assistant | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-07-26 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1447406426 | Thomas P. Moretti | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2008-08-11 |
| 1922103977 | Jacynda Leigh Lavanture | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2006-09-14 |
| 1932102605 | Christy P Lee | Physician Assistant | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-05-24 |
| Find all providers in ELKHART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.