Dr Shanna Verma Kautzmann, MD in Granger, IN

Dr Shanna Verma Kautzmann, MD is a medicare enrolled "Pediatrics" physician in Granger, Indiana. Her current practice location is 6913 N Main St Ste 200, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-4540.

Dr Shanna Verma Kautzmann is licensed to practice in Indiana (license number 01058244A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134214240.

Contact Information

	Dr Shanna Verma Kautzmann, MD
	6913 N Main St Ste 200, Granger, IN 46530-8039
	(574) 647-4540
	(574) 647-2567

Map and Direction

Physician's Profile

Full Name	Dr Shanna Verma Kautzmann
Gender	Female
Speciality	Pediatrics
Location	6913 N Main St Ste 200, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134214240
Provider Enumeration Date: 10/04/2006
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6406820307
Enrollment ID: I20040825001172

Medical Identifiers

Medical identifiers for Dr Shanna Verma Kautzmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134214240	NPI	-	NPPES
200310830	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01058244A (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. Dr Shanna Verma Kautzmann allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Shanna Verma Kautzmann 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 Shanna Verma Kautzmann, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Dr Shanna Verma Kautzmann, MD 6913 N Main St Ste 200, Granger, IN 46530-8039 Ph: (574) 647-4540

Reviews and Comments

Pediatrics Doctors in Granger, IN

Mikael Denise Howard, Pediatrics Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-204-7050 Fax: 574-204-7047
Dr. Charisse D Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 229 Florence Ave Ste 233, Granger, IN 46530 Phone: 574-855-4575 Fax: 833-314-0410
Dr. Karen D. Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-2970 Fax: 574-647-2971
Nancy Anne Pudlo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6913 N Main St Ste 200, Granger, IN 46530 Phone: 574-647-4540 Fax: 574-647-2971
Dr. Michael James Hudson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4343
Melissa Anne Hickey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 Fax: 574-273-5648

Dr Shanna Verma Kautzmann, MD - Medicare Pediatrics in Granger, IN