Dr Willis W Stevenson Iii, MD in Elkhart, IN

Dr Willis W Stevenson Iii, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Elkhart, Indiana. He went to University Of Pittsburgh School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc and his current practice location is 2310 California Road, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 264-4163.

Dr Willis W Stevenson Iii is licensed to practice in Indiana (license number 01062348A) 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 1780736645.

Contact Information

	Dr Willis W Stevenson Iii, MD
	2310 California Road, Elkhart, IN 46514-1228
	(574) 264-4163
	(574) 262-9650

Map and Direction

Physician's Profile

Full Name	Dr Willis W Stevenson Iii
Gender	Male
Speciality	Sports Medicine
Experience	23 Years
Location	2310 California Road, Elkhart, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Willis W Stevenson Iii attended and graduated from University Of Pittsburgh School Of Medicine in 2001

NPI Data:

NPI Number: 1780736645
Provider Enumeration Date: 01/18/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0749387728
Enrollment ID: I20070529000041

Medical Identifiers

Medical identifiers for Dr Willis W Stevenson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780736645	NPI	-	NPPES
01062348A	Other	IN	MEDICAL LICENSE
200847880	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	01062348A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elkhart General Hospital	Elkhart, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Medicine Center Of Northern Indiana Inc	0840260105	45

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 Willis W Stevenson Iii allows following entities to bill medicare on his behalf.

Entity Name	Orthopedic And Sports Medicine Center Of Northern Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002

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 Willis W Stevenson Iii 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 Willis W Stevenson Iii, MD 2310 California Road, Elkhart, IN 46514-1228 Ph: (574) 264-4163	Dr Willis W Stevenson Iii, MD 2310 California Road, Elkhart, IN 46514-1228 Ph: (574) 264-4163

Reviews and Comments

Orthopaedic Surgery Doctors in Elkhart, IN

Robert K Ellis, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Mark A Klaassen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Ste A, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Craig W Erekson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Dr. Jon B Smucker, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd Ste A, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-5183
Dr. Joseph Martin Caldwell Ii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Louis C Sfreddo, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Leonard J Kibiloski, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-9650

Dr Willis W Stevenson Iii, MD - Medicare Sports Medicine in Elkhart, IN