Dr John W Kitzmiller, MD is a medicare enrolled "Family Medicine - Addiction Medicine" provider in Lake Orion, Michigan. He went to Wayne State University School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as General Practice. He is a member of the group practice John Kitzmiller M.d. Pc and his current practice location is
1375 S Lapeer Rd Ste 203, Lake Orion, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 693-4000.
Dr John W Kitzmiller is licensed to practice in Michigan (license number 4301036695) 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 1811988504.
Healthcare Provider's Profile
Full Name | Dr John W Kitzmiller |
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Gender | Male |
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Speciality | General Practice |
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Experience | 49 Years |
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Location | 1375 S Lapeer Rd Ste 203, Lake Orion, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr John W Kitzmiller attended and graduated from Wayne State University School Of Medicine in 1975
NPI Data:
- NPI Number: 1811988504
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 03/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 9638303910
- Enrollment ID: I20130930000561
Medical Identifiers
Medical identifiers for Dr John W Kitzmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811988504 | NPI | - | NPPES |
0606301871 | Other | | BCBS |
101521316 | Medicaid | MI | |
1720134943 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301014619 (Michigan) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 4301036695 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
John Kitzmiller M.d. Pc | 7911131297 | 8 |
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. Dr John W Kitzmiller allows following entities to bill medicare on his behalf.
Entity Name | John Kitzmiller M.d. Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518393800 PECOS PAC ID: 7911131297 Enrollment ID: O20130930000550 |
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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. Dr John W Kitzmiller 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 |
Dr John W Kitzmiller, MD 1375 S Lapeer Rd Ste 203, Lake Orion, MI 48360-1421 Ph: (248) 693-4000 | Dr John W Kitzmiller, MD 1375 S Lapeer Rd Ste 203, Lake Orion, MI 48360-1421 Ph: (248) 693-4000 |
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