Mr Walter Douglas Kolmodin, DPM - Medicare Podiatrist in Granger, IN

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Mr Walter Douglas Kolmodin, DPM is a medicare enrolled "Podiatrist" provider in Granger, Indiana. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1998 and has 27 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 14950 State Road 23, Granger, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 259-9668.

Mr Walter Douglas Kolmodin is licensed to practice in Indiana (license number 07000902A) 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 1265427645.

Contact Information

Mr Walter Douglas Kolmodin, DPM
14950 State Road 23,
Granger, IN 46530-7564
(574) 259-9668
(574) 259-9671

Map and Direction




Healthcare Provider's Profile

Full NameMr Walter Douglas Kolmodin
GenderMale
SpecialityPodiatry
Experience27 Years
Location14950 State Road 23, Granger, Indiana
Accepts Medicare AssignmentsYes. 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 Walter Douglas Kolmodin attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1998
  NPI Data:
  • NPI Number: 1265427645
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 07/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082680186
  • Enrollment ID: I20040909000810

Medical Identifiers

Medical identifiers for Mr Walter Douglas Kolmodin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265427645NPI-NPPES
000000262667OtherINBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 07000902A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The South Bend Clinic Llc3779577937173

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 Walter Douglas Kolmodin allows following entities to bill medicare on his behalf.
Provider NameThe South Bend Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439

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 Walter Douglas Kolmodin 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 Walter Douglas Kolmodin, DPM
14950 State Road 23,
Granger, IN 46530-7564

Ph: (574) 259-9668		Mr Walter Douglas Kolmodin, DPM
14950 State Road 23,
Granger, IN 46530-7564

Ph: (574) 259-9668

Reviews and Comments


Podiatrist in Granger, IN

Jonathan H. Abiera Ii, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 6913 N Main St Ste 300, Granger, IN 46530
Phone: 574-647-1500    Fax: 574-647-2567

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.