Keith R Davis, MD - Medicare Obstetrics/gynecology in Fort Wayne, IN

Keith R Davis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Associated Surgeons And Physicians Llc and his current practice location is 7988 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-4400.

Keith R Davis is licensed to practice in Indiana (license number 01042294A) 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 1235129859.

Contact Information

Keith R Davis, MD
7988 W Jefferson Blvd,
Fort Wayne, IN 46804-4140
(260) 432-4400
(260) 969-6898

Map and Direction




Physician's Profile

Full NameKeith R Davis
GenderMale
SpecialityObstetrics/gynecology
Experience34 Years
Location7988 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith R Davis attended and graduated from Indiana University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1235129859
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 01/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395733273
  • Enrollment ID: I20040503000314

Medical Identifiers

Medical identifiers for Keith R Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235129859NPI-NPPES
200001020MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 01042294A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital
Dupont Hospital LlcFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Surgeons And Physicians Llc266853981828

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 R Davis allows following entities to bill medicare on his behalf.
Entity NameAssociated Surgeons And Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083868269
PECOS PAC ID: 2668539818
Enrollment ID: O20090316000381

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 R Davis 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 R Davis, MD
2518 E Dupont Rd,
Fort Wayne, IN 46825-1675

Ph: (260) 432-4400
Keith R Davis, MD
7988 W Jefferson Blvd,
Fort Wayne, IN 46804-4140

Ph: (260) 432-4400

Reviews and Comments


Obstetrics & Gynecology Doctors in Fort Wayne, IN

Danielle Berdahl, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845
Phone: 260-266-8380    Fax: 260-266-8385
Gita S Singh, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825
Phone: 260-436-6667    Fax: 260-469-7437
Anya V Menzies, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 833-724-8326    Fax: 260-266-8941
Dr. Christopher B Stroud, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10228 Dupont Circle Dr E, Suite 100, Fort Wayne, IN 46825
Phone: 260-222-7401    Fax: 260-209-5956
Dr. Scott T Goodrich, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 833-724-8326    Fax: 260-266-8941
Anusha Valluru, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845
Phone: 260-425-6650    Fax: 260-425-6649
Mr. Steven J Tanner, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845
Phone: 260-422-7455    

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.