Kimberly L Ploehn, MD - Medicare Family Practice in Battle Creek, MI

Kimberly L Ploehn, MD is a medicare enrolled "Family Medicine" physician in Battle Creek, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Edward W Sparrow Hospital Association and her current practice location is 3600 Capital Ave Sw, Suite 2, Battle Creek, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 979-5100.

Kimberly L Ploehn is licensed to practice in Michigan (license number 4301059704) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528075199.

Contact Information

Kimberly L Ploehn, MD
3600 Capital Ave Sw, Suite 2,
Battle Creek, MI 49015
(269) 979-5100
(269) 979-5480

Map and Direction




Physician's Profile

Full NameKimberly L Ploehn
GenderFemale
SpecialityFamily Practice
Experience33 Years
Location3600 Capital Ave Sw, Battle Creek, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly L Ploehn attended and graduated from Michigan State University College Of Human Medicine in 1991
  NPI Data:
  • NPI Number: 1528075199
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 03/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5698737088
  • Enrollment ID: I20050128000310

Medical Identifiers

Medical identifiers for Kimberly L Ploehn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528075199NPI-NPPES
3084194MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301059704 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward W Sparrow Hospital Association6709799166522

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. Kimberly L Ploehn allows following entities to bill medicare on her behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205213014
PECOS PAC ID: 6709799166
Enrollment ID: O20150609001395

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. Kimberly L Ploehn 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
Kimberly L Ploehn, MD
3600 Capital Ave S.w, Suite 2,
Battle Creek, MI 49015

Ph: (269) 979-5100
Kimberly L Ploehn, MD
3600 Capital Ave Sw, Suite 2,
Battle Creek, MI 49015

Ph: (269) 979-5100

Reviews and Comments


Family Medicine Doctors in Battle Creek, MI

Dr. Nicole S Boxer, MD
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Practice Location: 181 W Emmett St, Battle Creek, MI 49037
Phone: 269-441-3403    Fax: 269-441-1265
Dr. Bruce Weber Galonsky, MD
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Practice Location: 363 Fremont Street, Suite 203, Battle Creek, MI 49017
Phone: 269-969-6123    Fax: 269-969-6122
Gianna L Service, MD
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Practice Location: 485 Columbia Ave E, Suite 11a, Battle Creek, MI 49014
Phone: 269-245-5430    Fax: 269-969-6049
Mr. Wendell L. Diggs, PA-C
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Practice Location: 363 Fremont St, Ste 203, Battle Creek, MI 49017
Phone: 269-969-6123    Fax: 269-969-6122
Stephen Fedele, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 105 N 20th St, 20th St Clinic Pc, Battle Creek, MI 49015
Phone: 269-969-6010    Fax: 269-964-8422
Dr. Xue Wang, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 126 College St, Battle Creek, MI 49037
Phone: 269-969-6000    Fax: 269-963-1522
Dr. Thomas J. Farchone, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 14231 Beadle Lake Rd, Battle Creek, MI 49014
Phone: 269-962-0441    Fax: 269-962-0925

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.