Dr. Scott Alan Blickensderfer, DO
Dr. Scott Alan Blickensderfer, DO is an Urology in South Bend, Indiana. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1987, 39 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.
- Years since qualifying
- 39
- Trained at
- At Still University of Health Sciences, College of Osteo Med, Kirksville
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
6301 University Commons Ste 350South Bend, IN 46635-1571
Phone: (574) 234-4100
Fax: (574) 282-1739
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 02001398A (IN) |
|---|
Record details
| NPI number | 1578568572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | March 6, 2014 |
| Mailing address | 6301 University Commons, Ste 230, South Bend, IN 46635-1571 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE |
| Graduated | 1987 (39 years in practice) |
| Group practice | The South Bend Clinic Llc — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in South Bend
-
Allied Physicians of Michiana, LLC
6301 University Commons Ste 350, South Bend, IN 46635-1571 · (574) 234-4100
-
Beacon Medical Group
100 Navarre Pl Ste 4400, South Bend, IN 46601-1156 · (574) 647-4535
-
Jeffrey C Cooper, MD
211 N Eddy St, South Bend, IN 46617-2808 · (574) 243-4450
-
Dr. Kathleen Marie Delnay, MD
211 N Eddy St, South Bend, IN 46617-3096 · (574) 234-4100
-
Dr. Arthur Philip Depauw, MD
6301 University Commons Ste 350, South Bend, IN 46635-1571 · (574) 234-4100
-
Dr. John Anthony Hudak, MD
6301 University Commons Ste 350, South Bend, IN 46635-1571 · (574) 234-4100