Donald Squires Dunevant, MD in Portage, IN

Donald Squires Dunevant, MD is a medicare enrolled "Family Medicine" physician in Portage, Indiana. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cleanslate Medical Group Of Indiana Llc and his current practice location is 3630 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 759-5791.

Donald Squires Dunevant is licensed to practice in Indiana (license number 01033863) 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 1821059148.

Contact Information

	Donald Squires Dunevant, MD
	3630 Willowcreek Rd, Portage, IN 46368-5075
	(219) 759-5791
	(219) 759-3807

Map and Direction

Physician's Profile

Full Name	Donald Squires Dunevant
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	3630 Willowcreek Rd, Portage, Indiana
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:

Donald Squires Dunevant graduated from medical school in 1982

NPI Data:

NPI Number: 1821059148
Provider Enumeration Date: 03/28/2006
Last Update Date: 05/16/2019

Medicare PECOS Information:

PECOS PAC ID: 3375582265
Enrollment ID: I20050429000497

Medical Identifiers

Medical identifiers for Donald Squires Dunevant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821059148	NPI	-	NPPES
080106826	Other	IN	RAILROAD
5251392	Other		AETNA
000000522003	Other	IN	ANTHEM
100188440A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01033863 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleanslate Medical Group Of Indiana Llc	4880963909	63

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. Donald Squires Dunevant allows following entities to bill medicare on his behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Donald Squires Dunevant 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
Donald Squires Dunevant, MD 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 759-1157	Donald Squires Dunevant, MD 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 759-5791

Reviews and Comments

Family Medicine Doctors in Portage, IN

Dr. Adrienne Baksinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3283 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-8439 Fax: 249-764-8463
Gretchen M Haney, MSN, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112
Dr. Frank X Weilnhammer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380
Kenneth A Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-759-1157
Dr. Inderjit K Kapoor, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6375 Us Highway 6, Portage, IN 46368 Phone: 219-762-3196 Fax: 219-763-6438
Dr. Shane David Bush, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-364-3700
Julijana Obetkovska, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112

Donald Squires Dunevant, MD - Medicare Family Practice in Portage, IN