John Addo, MD - Medicare Internal Medicine in Fort Wayne, IN

John Addo, MD is a medicare enrolled "Internal Medicine" physician in Fort Wayne, Indiana. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lutheran Medical Group Llc and his current practice location is 2622 Lake Ave, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-3100.

John Addo is licensed to practice in Indiana (license number 01044290) 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 1922063189.

Contact Information

John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410
(260) 425-3100
(260) 425-3604

Map and Direction




Physician's Profile

Full NameJohn Addo
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location2622 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Addo graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1922063189
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123163391
  • Enrollment ID: I20100227000090

Medical Identifiers

Medical identifiers for John Addo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922063189NPI-NPPES
200068810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 01044290A (Indiana)Secondary
207R00000XInternal Medicine 01044290 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Medical Group Llc4981751617264

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. John Addo allows following entities to bill medicare on his behalf.
Entity NameSt Joseph Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811952070
PECOS PAC ID: 2264413491
Enrollment ID: O20040525001030
Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705

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. John Addo 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
John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100
John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100

Reviews and Comments


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Dr. Carl Marc Williams, M.D.
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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.