Guy Kedziora, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Plymouth, Indiana. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Michiana Hematology-oncology P C and his current practice location is
1915 Lake Ave, Plymouth, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 935-2353.
Guy Kedziora is licensed to practice in Indiana (license number 01039718) 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 1619977543.
Physician's Profile
Full Name | Guy Kedziora |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 42 Years |
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Location | 1915 Lake Ave, Plymouth, 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. |
Medical Education and Training:
- Guy Kedziora attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1983
NPI Data:
- NPI Number: 1619977543
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 01/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113912163
- Enrollment ID: I20071018000320
Medical Identifiers
Medical identifiers for Guy Kedziora such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619977543 | NPI | - | NPPES |
100092080 | Medicaid | IN | |
1619977543 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 01039718 (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Michiana Hematology-oncology P C | 3375513419 | 13 |
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. Guy Kedziora allows following entities to bill medicare on his behalf.
Entity Name | Michiana Hematology-oncology P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619970183 PECOS PAC ID: 3375513419 Enrollment ID: O20040727001513 |
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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. Guy Kedziora 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 |
Guy Kedziora, MD 100 E Wayne St Ste 510, South Bend, IN 46601-2349 Ph: (574) 334-5390 | Guy Kedziora, MD 1915 Lake Ave, Plymouth, IN 46563-9366 Ph: (574) 935-2353 |
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