Abdulrazak Kedo, MD is a medicare enrolled "Pediatrics" physician in Rushville, Indiana. His current practice location is
1339 N Cherry Street, Rushville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 932-7000.
Abdulrazak Kedo is licensed to practice in Indiana (license number 01052945A) 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 1194784603.
Physician's Profile
| Full Name | Abdulrazak Kedo |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1339 N Cherry Street, Rushville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194784603
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527090190
- Enrollment ID: I20050902000479
Medical Identifiers
Medical identifiers for Abdulrazak Kedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194784603 | NPI | - | NPPES |
| 01052945 | Other | IN | LICENSE |
| 000000373848 | Other | IN | ANTHEM |
| 200319580 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 01052945A (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. Abdulrazak Kedo allows following entities to bill medicare on his behalf.
| Entity Name | Meridian Health Services Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
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| Entity Name | Rush Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
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| Entity Name | Fishers Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669793568 PECOS PAC ID: 1052500584 Enrollment ID: O20110113000807 |
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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. Abdulrazak Kedo 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 |
Abdulrazak Kedo, MD 1300 N Main St, Rushville, IN 46173-1198 Ph: (765) 932-4111 | Abdulrazak Kedo, MD 1339 N Cherry Street, Rushville, IN 46173-1116 Ph: (765) 932-7000 |
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