Keith Hayden Sherry, MD - Medicare Emergency Medicine in South Bend, IN

Keith Hayden Sherry, MD is a medicare enrolled "Emergency Medicine" physician in South Bend, Indiana. His current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-7459.

Keith Hayden Sherry is licensed to practice in Indiana (license number 01035255A) 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 1699852996.

Contact Information

Keith Hayden Sherry, MD
615 N Michigan St,
South Bend, IN 46601-1033
(574) 647-7459
(574) 647-3658

Map and Direction




Physician's Profile

Full NameKeith Hayden Sherry
GenderMale
SpecialityEmergency Medicine
Location615 N Michigan St, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699852996
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4486618055
  • Enrollment ID: I20111201000224

Medical Identifiers

Medical identifiers for Keith Hayden Sherry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699852996NPI-NPPES
2977962MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01035255A (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. Keith Hayden Sherry allows following entities to bill medicare on his behalf.
Entity NameSouth Bend Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487132114
PECOS PAC ID: 0941282354
Enrollment ID: O20181212000947

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. Keith Hayden Sherry 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 AddressPractice Location Address
Keith Hayden Sherry, MD
328 N Michigan St, Suite 200,
South Bend, IN 46601-1244

Ph: (574) 647-1842
Keith Hayden Sherry, MD
615 N Michigan St,
South Bend, IN 46601-1033

Ph: (574) 647-7459

Reviews and Comments


Emergency Medicine Doctors in South Bend, IN

Dr. Peter Ray Martin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 Park Ave, South Bend, IN 46616
Phone: 574-536-4151    
Benjamin Glines I, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Philip Richard Kavanagh, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
Cheryl Wibbens, MD, MBA
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-6525    Fax: 574-647-6691
Dr. Aoko Doris Crain, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658
James Devereaux, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 E Lasalle Ave, South Bend, IN 46617
Phone: 574-282-8902    
Thomas Sweeney, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-7459    Fax: 574-647-3658

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.