Dr Kathleen B Baeverstad, MD is a
Emergency Medicine physician based in Columbia City, Indiana. Dr Kathleen B Baeverstad is licensed to practice in Indiana (license number 01032868A) and her current practice location is 353 N Oak St, Columbia City, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 248-9000.
NPI number for Dr Kathleen B Baeverstad is 1821083221 and her current mailing address is 2414 E State Blvd, Suite 202, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821083221.
Physician's Profile
Full Name | Dr Kathleen B Baeverstad |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 353 N Oak St, Columbia City, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821083221
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kathleen B Baeverstad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821083221 | NPI | - | NPPES |
000000082521 | Other | IN | ANTHEM |
000000008456 | Other | | MPLAN |
0801832 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01032868A (Indiana) | Primary |
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 Kathleen B Baeverstad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kathleen B Baeverstad, MD 2414 E State Blvd, Suite 202, Fort Wayne, IN 46805-4760 Ph: (260) 482-4440 | Dr Kathleen B Baeverstad, MD 353 N Oak St, Columbia City, IN 46725-1623 Ph: (260) 248-9000 |
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