Dr Andre Byard Stovall, MD in Fort Wayne, IN - Medicare Diagnostic Radiology

Dr Andre Byard Stovall, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology P C, American Oncology Partners Pa, Summit Radiology P C, Ella E M Brown Charitable Circle, Henry County Memorial Hospital, Summit Radiology P C and his current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-1568.

Dr Andre Byard Stovall is licensed to practice in Indiana (license number 01046801A) 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 1013988294.

Contact Information

	Dr Andre Byard Stovall, MD
	5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701
	(260) 432-1568
	(260) 432-4969

Map and Direction

Physician's Profile

Full Name	Dr Andre Byard Stovall
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	5001 Us Highway 30 W Ste D, Fort Wayne, 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:

Dr Andre Byard Stovall attended and graduated from Indiana University School Of Medicine in 1992

NPI Data:

NPI Number: 1013988294
Provider Enumeration Date: 01/27/2006
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2567524721
Enrollment ID: I20090205000654

Medical Identifiers

Medical identifiers for Dr Andre Byard Stovall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013988294	NPI	-	NPPES
1013988294	Medicaid	MI
2030386	Medicaid	OH
200129240	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	01046801A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Marion General Hospital	Marion, IN	Hospital
Dupont Hospital Llc	Fort wayne, IN	Hospital
Oaklawn Hospital	Marshall, MI	Hospital
Bluffton Regional Medical Center	Bluffton, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Radiology P C	0143295410	85
American Oncology Partners Pa	0042569758	278
Summit Radiology P C	0143295410	85
Ella E M Brown Charitable Circle	1254228745	141
Henry County Memorial Hospital	6002724085	136
Summit Radiology P C	0143295410	85

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 Andre Byard Stovall allows following entities to bill medicare on his behalf.

Entity Name	Ella E M Brown Charitable Circle
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366591794 PECOS PAC ID: 1254228745 Enrollment ID: O20040616001008

Entity Name	Summit Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20081222000511

Entity Name	X-ray Physicians Of Shelbyville Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144351347 PECOS PAC ID: 2264420215 Enrollment ID: O20211014000400

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 Andre Byard Stovall 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 Andre Byard Stovall, MD Po Box 80070, Fort Wayne, IN 46898-0070 Ph: (260) 432-1568	Dr Andre Byard Stovall, MD 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 Ph: (260) 432-1568

Reviews and Comments

Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969

Dr Andre Byard Stovall, MD - Medicare Diagnostic Radiology in Fort Wayne, IN