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DR. MARY REGINA FEEKS LACOURSIERE DO
NPI 1659864387
Pediatrics - Pediatric Critical Care Medicine in South Bend, IN

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST 5TH FL, SOUTH BEND, IN 46601(574) 647-7275(574) 647-3696 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Regina Feeks Lacoursiere Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY REGINA FEEKS LACOURSIERE DO (NPI 1659864387) is an individual pediatric critical care medicine provider in South Bend, Indiana, licensed in Indiana (02007852A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1659864387
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MARY REGINA FEEKS LACOURSIERECredential: DO
Location Address615 N MICHIGAN ST 5TH FLSouth Bend, IN 46601-1033
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129
Phone(574) 647-7275
Fax(574) 647-3696
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1659864387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IN · 02007852A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
615 N MICHIGAN ST 5TH FL, South Bend, IN 46601
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Other Identifiers 1

Medicaid300093262IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Regina Feeks Lacoursiere Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618219932
PECOS Enrollment IDI20240821000556
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARI RASAD GOURABATHINI M.D
Pediatrics (Pediatric Critical Care Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
MS. LAUREN JEAN WHITE CPNP
Nurse Practitioner (Pediatrics)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7426
BEACON MEDICAL GROUP, INC.
Pediatrics (Pediatric Critical Care Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
PAUL N ZENKER MD
Pediatrics (Pediatric Emergency Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
DR. LINDSAY JO KRAMER MD
Pediatrics
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7426
CAROLYN ROLOFF MD
Hospitalist
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lacoursiere's NPI number?

The NPI number for Mary Lacoursiere is 1659864387. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Mary Lacoursiere located?

Mary Lacoursiere practices at 615 N Michigan St 5th Fl, South Bend, IN 46601. The listed phone number is (574) 647-7275.

What is Mary Lacoursiere's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mary Lacoursiere enrolled in Medicare?

Yes. Mary Lacoursiere is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Lacoursiere accept?

Health plans from CareSource list Mary Lacoursiere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lacoursiere was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.