Dr Leah Stetzel, in Fort Wayne, IN - Medicare Dentist Provider

Dr Leah Stetzel, is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Fort Wayne, Indiana. Her current practice location is 223 E Tillman Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 447-2568.

Dr Leah Stetzel is licensed to practice in Indiana (license number 12013400A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962019984.

Contact Information

	Dr Leah Stetzel,
	223 E Tillman Rd, Fort Wayne, IN 46816-1079
	(260) 447-2568
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leah Stetzel
Gender	Female
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	223 E Tillman Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962019984
Provider Enumeration Date: 09/24/2020
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 2365809902
Enrollment ID: I20230613001284

Medical Identifiers

Medical identifiers for Dr Leah Stetzel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962019984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	RES.004246 (Ohio)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	30.027896 (Ohio)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	D011588 (Arizona)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	12013400A (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. Dr Leah Stetzel allows following entities to bill medicare on her behalf.

Entity Name	Children's Clinics For Rehabilitative Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063454346 PECOS PAC ID: 2264503408 Enrollment ID: O20080617000099

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 Leah Stetzel 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 Leah Stetzel, 223 E Tillman Rd, Fort Wayne, IN 46816-1079 Ph: (260) 447-2568	Dr Leah Stetzel, 223 E Tillman Rd, Fort Wayne, IN 46816-1079 Ph: (260) 447-2568

Reviews and Comments

Dentist in Fort Wayne, IN

Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614
Dr. Lora Wonderly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486

Dr Leah Stetzel, - Medicare Dentist in Fort Wayne, IN