Benjamin Haberly
Benjamin Haberly is a Physician Assistant in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 6
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
53880 Carmichael DrSouth Bend, IN 46635-1567
Phone: (574) 247-9441
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 303 S Nappanee St Ste F, Elkhart, IN 46514-2066 — (574) 247-9441
- 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 — (574) 247-9441
- 2349 Lake Ave Ste 201, Plymouth, IN 46563-7837 — (574) 247-9441
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 10003022A (IN) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 10003022A (IN) |
Record details
| NPI number | 1679176200 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Rci (Wrs) Llc — 330 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in South Bend
-
Joshua Eric Kwasnicka
621 Memorial Dr Ste 502, South Bend, IN 46601-1075 · (574) 647-5875
-
Maria Oxley, PA
100 Navarre Pl Ste 6600, South Bend, IN 46601-1173 · (574) 647-8800