Dr Keith Bryan Danckaert, MD in Fort Wayne, IN

Dr Keith Bryan Danckaert, MD is a medicare enrolled "Dermatology" physician in Fort Wayne, Indiana. His current practice location is 4020 New Vision Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 423-2567.

Dr Keith Bryan Danckaert is licensed to practice in Indiana (license number 01042415A) 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 1497787659.

Contact Information

	Dr Keith Bryan Danckaert, MD
	4020 New Vision Dr, Fort Wayne, IN 46845-1737
	(260) 423-2567
	(260) 420-2415

Map and Direction

Physician's Profile

Full Name	Dr Keith Bryan Danckaert
Gender	Male
Speciality	Dermatology
Location	4020 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497787659
Provider Enumeration Date: 07/07/2006
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6608849898
Enrollment ID: I20101208000017

Medical Identifiers

Medical identifiers for Dr Keith Bryan Danckaert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497787659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01042415A (Indiana)	Primary
207ND0101X	Dermatology - Mohs-micrographic Surgery	01042415A (Indiana)	Secondary

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 Keith Bryan Danckaert allows following entities to bill medicare on his behalf.

Entity Name	Dermatology And Laser Surgery Associates Of Fort Wayne P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043499221 PECOS PAC ID: 8628041811 Enrollment ID: O20040816001365

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 Keith Bryan Danckaert 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
Dr Keith Bryan Danckaert, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9016	Dr Keith Bryan Danckaert, MD 4020 New Vision Dr, Fort Wayne, IN 46845-1737 Ph: (260) 423-2567

Reviews and Comments

Dermatology Doctors in Fort Wayne, IN

Dr. Jennifer Lynn Hobbs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587
Patrick M. Veerkamp, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7881 Carnegie Blvd, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-434-0929
Dr. Alan R Gilbert, M. D. Dermatology Medicare: Medicare Enrolled Practice Location: 10620 Corporate Dr Ste A, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415
Dr. Diane Marie Hentz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587
David A Grekin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4020 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415
Ms. Jacquelyn Ray Beemer, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5650 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-9696
Dr. James Richard Kyler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587

Dr Keith Bryan Danckaert, MD - Medicare Dermatology in Fort Wayne, IN