Jay Fawver, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Angola, Indiana. He went to Indiana University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Parkview Health System Inc and his current practice location is
301 E Maumee St, Angola, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 667-5635.
Jay Fawver is licensed to practice in Indiana (license number 01032403A) 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 1164457404.
Physician's Profile
Full Name | Jay Fawver |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 41 Years |
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Location | 301 E Maumee St, Angola, Indiana |
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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:
- Jay Fawver attended and graduated from Indiana University School Of Medicine in 1983
NPI Data:
- NPI Number: 1164457404
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496701179
- Enrollment ID: I20050328000391
Medical Identifiers
Medical identifiers for Jay Fawver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164457404 | NPI | - | NPPES |
000000490037 | Other | IN | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 01032403A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Parkview Health System Inc | 2163336967 | 1167 |
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. Jay Fawver 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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Entity Name | Cameron Memorial Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770521478 PECOS PAC ID: 9234020835 Enrollment ID: O20040323001008 |
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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. Jay Fawver 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 |
Jay Fawver, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: (260) 266-6013 | Jay Fawver, MD 301 E Maumee St, Angola, IN 46703-2012 Ph: (260) 667-5635 |
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