Guy Kedziora, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Plymouth, Indiana. 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 |
---|
Gender | Male |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 1915 Lake Ave, Plymouth, 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:
- Guy Kedziora attended and graduated from in
NPI Data:
- NPI Number: 1619977543
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 01/03/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
Reviews and Comments