Shelby A Kenner, MD in Fort Wayne, IN - Medicare Family Practice

Shelby A Kenner, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She went to Indiana University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 5717 S Anthony Blvd, Suite 100, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 469-3984.

Shelby A Kenner is licensed to practice in Indiana (license number 01061016A) 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 1538170832.

Contact Information

	Shelby A Kenner, MD
	5717 S Anthony Blvd, Suite 100, Fort Wayne, IN 46806-3386
	(260) 469-3984
	(260) 441-3375

Map and Direction

Physician's Profile

Full Name	Shelby A Kenner
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	5717 S Anthony 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:

Shelby A Kenner attended and graduated from Indiana University School Of Medicine in 2004

NPI Data:

NPI Number: 1538170832
Provider Enumeration Date: 08/11/2006
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8123057932
Enrollment ID: I20050811000275

Medical Identifiers

Medical identifiers for Shelby A Kenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538170832	NPI	-	NPPES
000000519082	Other		BLUE CROSS BLUE SHIELD
200531880	Medicaid	IN
P00405718	Other	IN	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01061016A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dupont Hospital Llc	Fort wayne, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital
St Joseph Hospital	Fort wayne, IN	Hospital
Bluffton Regional Medical Center	Bluffton, 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. Shelby A Kenner 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. Shelby A Kenner 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
Shelby A Kenner, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 458-3210	Shelby A Kenner, MD 5717 S Anthony Blvd, Suite 100, Fort Wayne, IN 46806-3386 Ph: (260) 469-3984

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

Shelby A Kenner, MD - Medicare Family Practice in Fort Wayne, IN