Individual
JOHN BENJAMIN BACCUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ARCADE AVE STE 200, ELKHART, IN 46514-2485
(574) 294-8404
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1069
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01072136A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201141150
—
IN
Enumeration date
02/17/2006
Last updated
05/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us