Keith Hayden Sherry, MD in South Bend, IN - Medicare Emergency Medicine

Keith Hayden Sherry, MD is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. His current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-7459.

Keith Hayden Sherry is licensed to practice in Indiana (license number 01035255A) 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 1699852996.

Contact Information

	Keith Hayden Sherry, MD
	615 N Michigan St, South Bend, IN 46601-1033
	(574) 647-7459
	(574) 647-3658

Map and Direction

Physician's Profile

Full Name	Keith Hayden Sherry
Gender	Male
Speciality	Emergency Medicine
Location	615 N Michigan St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699852996
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486618055
Enrollment ID: I20111201000224

Medical Identifiers

Medical identifiers for Keith Hayden Sherry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699852996	NPI	-	NPPES
2977962	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01035255A (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. Keith Hayden Sherry allows following entities to bill medicare on his behalf.

Entity Name	South Bend Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947

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. Keith Hayden Sherry 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
Keith Hayden Sherry, MD 328 N Michigan St, Suite 200, South Bend, IN 46601-1244 Ph: (574) 647-1842	Keith Hayden Sherry, MD 615 N Michigan St, South Bend, IN 46601-1033 Ph: (574) 647-7459

Reviews and Comments

Emergency Medicine Doctors in South Bend, IN

Dr. Peter Ray Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Park Ave, South Bend, IN 46616 Phone: 574-536-4151
Benjamin Glines I, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Philip Richard Kavanagh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
Cheryl Wibbens, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6525 Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658
James Devereaux, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-282-8902
Thomas Sweeney, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7459 Fax: 574-647-3658

Keith Hayden Sherry, MD - Medicare Emergency Medicine in South Bend, IN