Dorothea Addo, MD - Medicare Internal Medicine in Fort Wayne, IN

Dorothea Addo, MD is a medicare enrolled "Internal Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 2622 Lake Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 425-3100.

Dorothea Addo is licensed to practice in Indiana (license number 01045551A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063478360.

Contact Information

Dorothea Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410
(260) 425-3100
Not Available

Map and Direction




Physician's Profile

Full NameDorothea Addo
GenderFemale
SpecialityInternal Medicine
Experience36 Years
Location2622 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dorothea Addo graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1063478360
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759426927
  • Enrollment ID: I20100227000106

Medical Identifiers

Medical identifiers for Dorothea Addo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063478360NPI-NPPES
200163320MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01045551A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Regional Medical CenterFort wayne, INHospital
St Joseph HospitalFort wayne, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital
Dupont Hospital LlcFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Medical Group Llc4981751617264

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. Dorothea Addo allows following entities to bill medicare on her behalf.
Entity NameSt Joseph Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811952070
PECOS PAC ID: 2264413491
Enrollment ID: O20040525001030
Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705

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. Dorothea Addo 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 AddressPractice Location Address
Dorothea Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100
Dorothea Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100

Reviews and Comments


Internal Medicine Doctors in Fort Wayne, IN

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John T Ducker, MD
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Mr. Kenneth A Smith, MD
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Dr. Carl Marc Williams, M.D.
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Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 260-373-9700    Fax: 260-373-9740

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.