John Steven Midmore, MD in Portage, IN - Medicare Physical Medicine & Rehabilitation

John Steven Midmore, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Portage, Indiana. His current practice location is 3156 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 548-5999.

John Steven Midmore is licensed to practice in Indiana (license number 01040887A) 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 1245201177.

Contact Information

	John Steven Midmore, MD
	3156 Willowcreek Rd, Portage, IN 46368
	(219) 548-5999
	Not Available

Map and Direction

Physician's Profile

Full Name	John Steven Midmore
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	3156 Willowcreek Rd, Portage, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245201177
Provider Enumeration Date: 01/30/2006
Last Update Date: 10/10/2014

Medicare PECOS Information:

PECOS PAC ID: 3971644576
Enrollment ID: I20170530001029

Medical Identifiers

Medical identifiers for John Steven Midmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245201177	NPI	-	NPPES
100340370B	Medicaid	IN
P00092669	Other	IN	RR MCR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	01040887A (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. John Steven Midmore allows following entities to bill medicare on his behalf.

Entity Name	Jencare Neighborhood Medical East Richmond, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891089454 PECOS PAC ID: 3173782398 Enrollment ID: O20120307000919

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 Steven Midmore 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
John Steven Midmore, MD Po Box 1873, Valparaiso, IN 46384-1873 Ph: (219) 476-0352	John Steven Midmore, MD 3156 Willowcreek Rd, Portage, IN 46368 Ph: (219) 548-5999

John Steven Midmore, MD - Medicare Physical Medicine & Rehabilitation in Portage, IN