Dr Jerry Alvin Dearth, MD is a medicare enrolled "Family Medicine" physician in Grabill, Indiana. He went to Indiana University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Parkview Health System Inc and his current practice location is
13410 Main St, Box 340, Grabill, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 422-2481.
Dr Jerry Alvin Dearth is licensed to practice in Indiana (license number 01029438A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588779375.
Physician's Profile
| Full Name | Dr Jerry Alvin Dearth |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 45 Years |
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| Location | 13410 Main St, Grabill, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerry Alvin Dearth attended and graduated from Indiana University School Of Medicine in 1979
NPI Data:
- NPI Number: 1588779375
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789682535
- Enrollment ID: I20090105000547
Medical Identifiers
Medical identifiers for Dr Jerry Alvin Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588779375 | NPI | - | NPPES |
| 100055390 | Medicaid | IN | |
| 000000595570 | Other | IN | ANTHEM |
| P00698419 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01029438A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Parkview Health System Inc | 2163336967 | 1192 |
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. Dr Jerry Alvin Dearth allows following entities to bill medicare on his behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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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. Dr Jerry Alvin Dearth 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 |
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Dr Jerry Alvin Dearth, MD
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Dr Jerry Alvin Dearth, MD
13410 Main St, Box 340,
Grabill, IN 46741-2001
Ph: (260) 422-2481 |
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