Nikki Mo Wynn, MD in Fort Wayne, IN - Medicare Pulmonary Disease

Nikki Mo Wynn, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 432-2297.

Nikki Mo Wynn is licensed to practice in Indiana (license number 01081038A) 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 1184979882.

Contact Information

	Nikki Mo Wynn, MD
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 432-2297
	(260) 434-6481

Map and Direction

Physician's Profile

Full Name	Nikki Mo Wynn
Gender	Female
Speciality	Pulmonary Disease
Experience	16 Years
Location	7950 W Jefferson Blvd, Fort Wayne, 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:

Nikki Mo Wynn graduated from medical school in 2008

NPI Data:

NPI Number: 1184979882
Provider Enumeration Date: 07/18/2012
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5395987788
Enrollment ID: I20180907001200

Medical Identifiers

Medical identifiers for Nikki Mo Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184979882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	01081038A (Indiana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	01081038A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Medical Group Llc	4981751617	264

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. Nikki Mo Wynn allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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. Nikki Mo Wynn 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
Nikki Mo Wynn, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514	Nikki Mo Wynn, MD 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Nikki Mo Wynn, MD - Medicare Pulmonary Disease in Fort Wayne, IN