Daniel Matthew Kinney, MD in South Bend, IN

Daniel Matthew Kinney, MD is a medicare enrolled "Pediatrics" physician in South Bend, Indiana. His current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1700.

Daniel Matthew Kinney is licensed to practice in Indiana (license number 01068216A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518123124.

Contact Information

	Daniel Matthew Kinney, MD
	1815 E Ireland Rd, South Bend, IN 46614-2845
	(574) 647-1700
	(574) 647-1708

Map and Direction

Physician's Profile

Full Name	Daniel Matthew Kinney
Gender	Male
Speciality	Pediatrics
Location	1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518123124
Provider Enumeration Date: 08/03/2008
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6305979204
Enrollment ID: I20100729000100

Medical Identifiers

Medical identifiers for Daniel Matthew Kinney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518123124	NPI	-	NPPES
200985830	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01068216A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Daniel Matthew Kinney allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Matthew Kinney is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Daniel Matthew Kinney, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Daniel Matthew Kinney, MD 1815 E Ireland Rd, South Bend, IN 46614-2845 Ph: (574) 647-1700

Reviews and Comments

Pediatrics Doctors in South Bend, IN

Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895
Asad Ansari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696

Daniel Matthew Kinney, MD - Medicare Pediatrics in South Bend, IN