Mr Keith R Pitchford, DO is a medicare enrolled "Orthopaedic Surgery" physician in Saint John, Indiana. He went to Chicago College Of Osteopathy and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Great Lakes Orthopedics And Sports Medicine, Pc, Rci (wrs), Llc. and his current practice location is
9615 Keilman Street, Saint John, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 365-0220.
Mr Keith R Pitchford is licensed to practice in Indiana (license number 02002102A) 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 1568462729.
Physician's Profile
Full Name | Mr Keith R Pitchford |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 34 Years |
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Location | 9615 Keilman Street, Saint John, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Keith R Pitchford attended and graduated from Chicago College Of Osteopathy in 1990
NPI Data:
- NPI Number: 1568462729
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 01/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254225584
- Enrollment ID: I20040618000124
Medical Identifiers
Medical identifiers for Mr Keith R Pitchford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568462729 | NPI | - | NPPES |
000000232835 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 02002102A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Great Lakes Orthopedics And Sports Medicine, Pc | 2062306384 | 3 |
Rci (wrs), Llc. | 5092624510 | 328 |
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 Keith R Pitchford allows following entities to bill medicare on his behalf.
Entity Name | Great Lakes Orthopedics & Sports Medicine, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669472270 PECOS PAC ID: 2062306384 Enrollment ID: O20040209001009 |
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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 Keith R Pitchford 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 Keith R Pitchford, DO 9615 Keilman St, Saint John, IN 46373 Ph: (219) 365-0220 | Mr Keith R Pitchford, DO 9615 Keilman Street, Saint John, IN 46373 Ph: (219) 365-0220 |
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