Jack S Bartoszek (NPI# 1093714818, PAC ID# 8527019132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1093714818 |
| PAC ID by PECOS | 8527019132 |
| Professional Enrollment ID | I20050201000465 |
| Full Name | Jack S Bartoszek |
| Organization Legal Name | MICHIANA PRIMARY CARE LLC |
| Address |
615 Fulmer Rd Mishawaka IN 46544-6911 |
| Phone Number | 5742523085 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8820114952 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151300 | COMMUNITY HOSPITAL OF BREMEN INC |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 5742523085 | MICHIANA PRIMARY CARE LLC |
| 310 N Ironwood Dr, South Bend, IN 46615-2520 | 5742681222 | MICHIANA PRIMARY CARE LLC |
| Organization Legal Name | MICHIANA PRIMARY CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita V Patel | Family Medicine | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Linda S Holcomb | Nurse Practitioner | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Street Address |
615 FULMER RD |
| City | MISHAWAKA |
| State | IN |
| Zip | 46544-6911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita V Patel | Family Medicine | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Linda S Holcomb | Nurse Practitioner | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Jeffrey Borders | General Surgery | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Guthrie | Family Practice | Img Associates LLC | 4215 Edison Lakes Pkwy, Suite 300, Mishawaka, IN 46544-1427 |
| Laura L Helman | Family Medicine | 1207 Lincolnway W, Mishawaka Osteopathic Clinic, Mishawaka, IN 46544-1709 | |
| Glenn Scott Wheet | Family Medicine | 900 Lincolnway W, Mishawaka, IN 46544-1716 | |
| Bryan C Glenn | Chiropractic | 535 Lincolnway W, Mishawaka, IN 46544-1800 | |
| Jana Schenkel | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Rebecca Ann Bauer | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Katherine A Lisoni | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Kathleen A Long | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Erica Garrett | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Michelle Streb | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Find all physicians in zip 46544 | |||
| City | MISHAWAKA |
| Zip Code | 46544 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MISHAWAKA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jack S Bartoszek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.