Kimberly L Ploehn, MD in Crown Point, IN - Medicare Family Practice

Kimberly L Ploehn, MD is a medicare enrolled "Family Medicine" physician in Crown Point, Indiana. She went to Michigan State University College Of Human Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Edward W Sparrow Hospital Association and her current practice location is 10215 Broadway Fl 1, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 661-6098.

Kimberly L Ploehn is licensed to practice in Indiana (license number 01094884A) 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 1528075199.

Contact Information

	Kimberly L Ploehn, MD
	10215 Broadway Fl 1, Crown Point, IN 46307-8001
	(219) 661-6098
	(219) 703-6812

Map and Direction

Physician's Profile

Full Name	Kimberly L Ploehn
Gender	Female
Speciality	Family Practice
Experience	33 Years
Location	10215 Broadway Fl 1, Crown Point, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly L Ploehn attended and graduated from Michigan State University College Of Human Medicine in 1991

NPI Data:

NPI Number: 1528075199
Provider Enumeration Date: 08/03/2006
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5698737088
Enrollment ID: I20050128000310

Medical Identifiers

Medical identifiers for Kimberly L Ploehn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528075199	NPI	-	NPPES
300096697	Medicaid	IN
3084194	Medicaid	MI
1104457857	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01094884A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Edward W Sparrow Hospital	Lansing, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward W Sparrow Hospital Association	6709799166	525

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. Kimberly L Ploehn allows following entities to bill medicare on her behalf.

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790

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. Kimberly L Ploehn 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
Kimberly L Ploehn, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084	Kimberly L Ploehn, MD 10215 Broadway Fl 1, Crown Point, IN 46307-8001 Ph: (219) 661-6098

Reviews and Comments

Family Medicine Doctors in Crown Point, IN

Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610
Angelica M. Lacefield, MSN, APRN, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897
Mrs. Kamartaj S Quadri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8621
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312
Erika Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-933-2288

Kimberly L Ploehn, MD - Medicare Family Practice in Crown Point, IN