Elisabeth Kristine Wynne, MD in Dayton, OH

Elisabeth Kristine Wynne, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Dayton, Ohio. Her current practice location is 1 Childrens Plz, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-4000.

Elisabeth Kristine Wynne is licensed to practice in Ohio (license number 35.142387) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801159926.

Contact Information

	Elisabeth Kristine Wynne, MD
	1 Childrens Plz, Dayton, OH 45404-1815
	(937) 641-4000
	(937) 641-4500

Map and Direction

Physician's Profile

Full Name	Elisabeth Kristine Wynne
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	1 Childrens Plz, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801159926
Provider Enumeration Date: 06/22/2012
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6305179599
Enrollment ID: I20190603001243

Medical Identifiers

Medical identifiers for Elisabeth Kristine Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801159926	NPI	-	NPPES
0449753	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	35.142387 (Ohio)	Primary

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. Elisabeth Kristine Wynne allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Elisabeth Kristine Wynne 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
Elisabeth Kristine Wynne, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000	Elisabeth Kristine Wynne, MD 1 Childrens Plz, Dayton, OH 45404-1815 Ph: (937) 641-4000

Reviews and Comments

Surgery Doctors in Dayton, OH

Dr. Vijay Kiran Jayanti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste Nw3300, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-641-2780
Dr. Victor N Nanagas Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: One Childrens Plaza, Ste 2071, Dayton, OH 45404 Phone: 937-461-5020 Fax: 937-641-3107
Randy J Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154
Philip Copelain Williams Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: One Elizabeth Place, Suite 10a, Dayton, OH 45408 Phone: 937-228-4156 Fax: 937-228-0247
Robert D Keighley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 829 Timberlake Ct, Dayton, OH 45429 Phone: 419-236-3315
Akpofure P Ekeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154
Alice Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Dayton, OH 45459 Phone: 937-208-5300 Fax: 937-208-5650

Elisabeth Kristine Wynne, MD - Medicare Surgery in Dayton, OH