Kirby Douglas Slifer, DO is a medicare enrolled "Hospitalist" physician in Michigan City, Indiana. His current practice location is
301 W Homer St, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 879-8511.
Kirby Douglas Slifer is licensed to practice in Indiana (license number 02001065A) 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 1073507422.
Physician's Profile
| Full Name | Kirby Douglas Slifer |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 301 W Homer St, Michigan City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073507422
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022906452
- Enrollment ID: I20040816001060
Medical Identifiers
Medical identifiers for Kirby Douglas Slifer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073507422 | NPI | - | NPPES |
| 200116690A | Medicaid | OK | |
| P00664346 | Other | IN | MEDICARE RAILROAD |
| 1073507422 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 02001065A (Indiana) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 4556 (Oklahoma) | Secondary |
| 208M00000X | Hospitalist | 02001065A (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. Kirby Douglas Slifer allows following entities to bill medicare on his behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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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. Kirby Douglas Slifer 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 |
|---|
Kirby Douglas Slifer, DO
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Kirby Douglas Slifer, DO
301 W Homer St,
Michigan City, IN 46360-4358
Ph: (219) 879-8511 |
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