Stephanie S Kidd, DO in Fort Wayne, IN - Medicare Family Practice

Stephanie S Kidd, DO is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indiana University Health Fort Wayne Physicians, Llc and her current practice location is 7230 Engle Rd Ste 100, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 234-5400.

Stephanie S Kidd is licensed to practice in Indiana (license number 02005696A) 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 1689194813.

Contact Information

	Stephanie S Kidd, DO
	7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234
	(260) 234-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephanie S Kidd
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	7230 Engle Rd Ste 100, 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:

Stephanie S Kidd graduated from medical school in 2017

NPI Data:

NPI Number: 1689194813
Provider Enumeration Date: 06/20/2017
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2264708064
Enrollment ID: I20200702001942

Medical Identifiers

Medical identifiers for Stephanie S Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689194813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	02005696A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Fort Wayne Physicians, Llc	5193138527	30

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. Stephanie S Kidd allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

Entity Name	Indiana University Health Fort Wayne Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512

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. Stephanie S Kidd 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
Stephanie S Kidd, DO 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621	Stephanie S Kidd, DO 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 Ph: (260) 234-5400

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

Stephanie S Kidd, DO - Medicare Family Practice in Fort Wayne, IN