Mr Mark Douglas Schermerhorn, PT, ATC - Medicare in Fort Wayne, IN

  1. Home
Mr Mark Douglas Schermerhorn, PT, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Fort Wayne, Indiana. His current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 484-8551.

Mr Mark Douglas Schermerhorn is licensed to practice in Indiana (license number 36000908A) 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 1114048832.

Contact Information

Mr Mark Douglas Schermerhorn, PT, ATC
5050 N Clinton St,
Fort Wayne, IN 46825-5822
(260) 484-8551
(260) 894-4708

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Douglas Schermerhorn
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114048832
  • Provider Enumeration Date: 04/02/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0547424103
  • Enrollment ID: I20120611000375

Medical Identifiers

Medical identifiers for Mr Mark Douglas Schermerhorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114048832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05002434A (Indiana)Primary
2255A2300XSpecialist/technologist - Athletic Trainer 36000908A (Indiana)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 Mark Douglas Schermerhorn allows following entities to bill medicare on his behalf.
Provider NameSenior Outpatient Services
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1750050977
PECOS PAC ID: 6507264165
Enrollment ID: O20211012001998

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 Mark Douglas Schermerhorn 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 AddressPractice Location Address
Mr Mark Douglas Schermerhorn, PT, ATC
9127 N 1050 W,
Ligonier, IN 46767-9748

Ph: (260) 894-4659		Mr Mark Douglas Schermerhorn, PT, ATC
5050 N Clinton St,
Fort Wayne, IN 46825-5822

Ph: (260) 484-8551

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.