Jared Ray Dhaemers, MD in Elkhart, IN

Jared Ray Dhaemers, MD is a medicare enrolled "Pediatrics" physician in Elkhart, Indiana. His current practice location is 1627 E Bristol St, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 262-0313.

Jared Ray Dhaemers is licensed to practice in Indiana (license number 01061757A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770533424.

Contact Information

	Jared Ray Dhaemers, MD
	1627 E Bristol St, Elkhart, IN 46514-3817
	(574) 262-0313
	(574) 262-8163

Map and Direction

Physician's Profile

Full Name	Jared Ray Dhaemers
Gender	Male
Speciality	Pediatrics
Location	1627 E Bristol St, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770533424
Provider Enumeration Date: 05/12/2006
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9436382595
Enrollment ID: I20140425001880

Medical Identifiers

Medical identifiers for Jared Ray Dhaemers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770533424	NPI	-	NPPES
000000871798	Other	IN	BCBS BMG PEDIATRICS BRISTOL STREET
200818270	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01061757A (Indiana)	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. Jared Ray Dhaemers allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Jared Ray Dhaemers 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
Jared Ray Dhaemers, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Jared Ray Dhaemers, MD 1627 E Bristol St, Elkhart, IN 46514-3817 Ph: (574) 262-0313

Reviews and Comments

Pediatrics Doctors in Elkhart, IN

Dr. Shahir Okhovat-ghahfarokhi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879
Dr. Su Choo Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879
Christine Mamphey Dankwa, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 514-970-3256
Sandra H. Morgan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Emily Marie Kisor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313
Jody L Srof, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163

Jared Ray Dhaemers, MD - Medicare Pediatrics in Elkhart, IN