Jacklyn D Kiefer, DO - Medicare Sports Medicine in Greenwood, IN

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Jacklyn D Kiefer, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Greenwood, Indiana. She went to University Of New England, College Of Osteo Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Community Physicians Of Indiana Inc and her current practice location is 533 E County Line Rd Ste 101, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 957-9050.

Jacklyn D Kiefer is licensed to practice in Indiana (license number 02003257A) 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 1679796775.

Contact Information

Jacklyn D Kiefer, DO
533 E County Line Rd Ste 101,
Greenwood, IN 46143
(317) 957-9050
Not Available

Map and Direction




Physician's Profile

Full NameJacklyn D Kiefer
GenderFemale
SpecialitySports Medicine
Experience18 Years
Location533 E County Line Rd Ste 101, Greenwood, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacklyn D Kiefer attended and graduated from University Of New England, College Of Osteo Medicine in 2006
  NPI Data:
  • NPI Number: 1679796775
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284787797
  • Enrollment ID: I20180726002358

Medical Identifiers

Medical identifiers for Jacklyn D Kiefer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679796775NPI-NPPES
P00885864OtherOHRR MEDICARE
2957966MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02003257A (Indiana)Secondary
207QS0010XFamily Medicine - Sports Medicine 02003257A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospital EastIndianapolis, INHospital
Community Hospital South, Inc.Indianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Of Indiana Inc17594166621292

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. Jacklyn D Kiefer allows following entities to bill medicare on her behalf.
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717

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. Jacklyn D Kiefer 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 AddressPractice Location Address
Jacklyn D Kiefer, DO
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890

Ph: () -		Jacklyn D Kiefer, DO
533 E County Line Rd Ste 101,
Greenwood, IN 46143

Ph: (317) 957-9050

Reviews and Comments


Family Medicine Doctors in Greenwood, IN

Dr. Elise Rose Laroche, M.D.
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Brittany Y. Simpson,
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Dr. Charles L Richert, M.D.
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Dr. Douglas K Bullington, MD
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Philip A. Blaney, M.D.
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Shelley R Stiner, DO
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Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142
Phone: 317-550-4510    Fax: 317-886-4550
Ehab Wanas, M.D.
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Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143
Phone: 317-885-2860    Fax: 317-885-2869

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.