Dr Kimberly Rose Azelton, MD in South Bend, IN

Dr Kimberly Rose Azelton, MD is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mymichigan Medical Group and her current practice location is 714 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-7477.

Dr Kimberly Rose Azelton is licensed to practice in Indiana (license number 01084056A) 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 1972038594.

Contact Information

	Dr Kimberly Rose Azelton, MD
	714 N Michigan St, South Bend, IN 46601-1035
	(574) 647-7477
	(574) 647-3655

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Rose Azelton
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	714 N Michigan St, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Rose Azelton graduated from medical school in 2017

NPI Data:

NPI Number: 1972038594
Provider Enumeration Date: 04/21/2017
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9537438908
Enrollment ID: I20211022000616

Medical Identifiers

Medical identifiers for Dr Kimberly Rose Azelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972038594	NPI	-	NPPES
300005661	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01084056A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Midmichigan Medical Center-gratiot	Alma, MI	Hospital
Midmichigan Medical Center-midland	Midland, MI	Hospital
Edward W Sparrow Hospital	Lansing, MI	Hospital
Midmichigan Medical Center-clare	Clare, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mymichigan Medical Group	4981501939	161

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 Kimberly Rose Azelton allows following entities to bill medicare on her behalf.

Entity Name	Mymichigan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905

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 Kimberly Rose Azelton 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 Kimberly Rose Azelton, MD 12911 Kelly Ln, Grand Ledge, MI 48837-8926 Ph: (517) 258-0855	Dr Kimberly Rose Azelton, MD 714 N Michigan St, South Bend, IN 46601-1035 Ph: (574) 647-7477

Reviews and Comments

Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 High St, South Bend, IN 46613 Phone: 574-647-1400 Fax: 574-237-6663
Louis Cavadini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9395 Fax: 574-204-6345
Dale Alan Patterson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477
Dr. Nicholas Harold Kerr, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094
Dr. Curtis L Gongwer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 North Portage Avenue, South Bend, IN 46628 Phone: 574-204-6200 Fax: 574-288-1426
Robert Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17321 State Road 23, South Bend, IN 46635 Phone: 574-335-8400 Fax: 574-335-0796
Matthew T. Dupre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655

Dr Kimberly Rose Azelton, MD - Medicare Family Practice in South Bend, IN