Elton G Fennell, MD in Evansville, IN - Medicare Obstetrics & Gynecology

Elton G Fennell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Evansville, Indiana. His current practice location is 415 W Columbia St, Ste 110, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 450-3363.

Elton G Fennell is licensed to practice in Massachusetts (license number 235209) 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 1497705891.

Contact Information

	Elton G Fennell, MD
	415 W Columbia St, Ste 110, Evansville, IN 47710-1656
	(812) 450-3363
	(812) 450-3071

Map and Direction

Physician's Profile

Full Name	Elton G Fennell
Gender	Male
Speciality	Obstetrics & Gynecology
Location	415 W Columbia St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497705891
Provider Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7012950926
Enrollment ID: I20050929000686

Medical Identifiers

Medical identifiers for Elton G Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497705891	NPI	-	NPPES
2157934	Medicaid	MA
1497705891	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01074892A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	45090 (Wisconsin)	Secondary
207Q00000X	Family Medicine	01074892A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	235209 (Massachusetts)	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. Elton G Fennell allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

Entity Name	Prairie Du Chien Memorial Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308

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. Elton G Fennell 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
Elton G Fennell, MD Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-3363	Elton G Fennell, MD 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 Ph: (812) 450-3363

Reviews and Comments

Obstetrics & Gynecology Doctors in Evansville, IN

Allison R Melton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave Ste 2200, Evansville, IN 47714 Phone: 812-485-7111
Mrs. Donna C Sweets, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 801 Saint Marys Dr, Suite 309e, Evansville, IN 47714 Phone: 812-485-1850 Fax: 812-485-1855
Christine M Riley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Suite 2200, Evansville, IN 47714 Phone: 812-485-7111 Fax: 812-485-7919
Deangela Lynn Crutcher, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Ste 2200, Evansville, IN 47714 Phone: 812-485-7111 Fax: 812-485-7919
Dr. Regina Elizabeth Auth, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Saint Marys Medical Ctr, 3700 Washington Avenue, Evansville, IN 47750 Phone: 812-485-1894
Dr. Nelson Vere Graham Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 801 Saint Marys Dr, Suite 201 East, Evansville, IN 47714 Phone: 812-475-8975 Fax: 812-471-8322
Dr. John Michael Reid, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 121, Evansville, IN 47714 Phone: 812-475-8975 Fax: 812-471-8322

Elton G Fennell, MD - Medicare Obstetrics & Gynecology in Evansville, IN