Mr Ewald E Kundtz, MD in Chardon, OH - Medicare Emergency Medicine

Mr Ewald E Kundtz, MD is a medicare enrolled "Emergency Medicine" physician in Chardon, Ohio. His current practice location is 13207 Ravenna Rd, Chardon, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 285-6000.

Mr Ewald E Kundtz is licensed to practice in Ohio (license number 35060481K) 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 1588648331.

Contact Information

	Mr Ewald E Kundtz, MD
	13207 Ravenna Rd, Chardon, OH 44024-7032
	(440) 285-6000
	(440) 286-9686

Map and Direction

Physician's Profile

Full Name	Mr Ewald E Kundtz
Gender	Male
Speciality	Emergency Medicine
Location	13207 Ravenna Rd, Chardon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588648331
Provider Enumeration Date: 12/05/2005
Last Update Date: 09/17/2008

Medicare PECOS Information:

PECOS PAC ID: 5698796126
Enrollment ID: I20051213000344

Medical Identifiers

Medical identifiers for Mr Ewald E Kundtz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588648331	NPI	-	NPPES
1021545370001	Medicaid	PA
000000385522	Other	OH	ANTHEM
000000269015	Other	OH	ANTHEM
000000557158	Other	OH	ANTHEM
0879143	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35060481K (Ohio)	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. Mr Ewald E Kundtz allows following entities to bill medicare on his behalf.

Entity Name	Emergency Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864

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. Mr Ewald E Kundtz 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
Mr Ewald E Kundtz, MD 5700 Darrow Rd, Ste 106, Hudson, OH 44236-5026 Ph: (330) 656-9304	Mr Ewald E Kundtz, MD 13207 Ravenna Rd, Chardon, OH 44024-7032 Ph: (440) 285-6000

Reviews and Comments

Emergency Medicine Doctors in Chardon, OH

Robert J. Zimmerman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 330-656-5901
Melissa Nielsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 330-656-5901
Dr. Tina Marie Piscitelli-shaffer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Geauga Medical Center, Chardon, OH 44024 Phone: 440-285-6184
Andrew P Garlisi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 330-656-5901

Mr Ewald E Kundtz, MD - Medicare Emergency Medicine in Chardon, OH