Kurtis Dejong, MD in Mishawaka, IN - Medicare Emergency Medicine

Kurtis Dejong, MD is a medicare enrolled "Emergency Medicine" physician in Mishawaka, Indiana. His current practice location is 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-5000.

Kurtis Dejong is licensed to practice in Indiana (license number 01039621) 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 1184680159.

Contact Information

	Kurtis Dejong, MD
	5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469
	(574) 335-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kurtis Dejong
Gender	Male
Speciality	Emergency Medicine
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184680159
Provider Enumeration Date: 04/26/2006
Last Update Date: 12/16/2011

Medicare PECOS Information:

PECOS PAC ID: 7113099177
Enrollment ID: I20090406000106

Medical Identifiers

Medical identifiers for Kurtis Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184680159	NPI	-	NPPES
930102831	Other	IN	RAIL ROAD MEDICARE
104943838	Medicaid	MI
000000190295	Other	IN	ANTHEM
200022520	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	01039621 (Indiana)	Secondary
207P00000X	Emergency Medicine	01039621 (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. Kurtis Dejong allows following entities to bill medicare on his behalf.

Entity Name	Elite Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611

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. Kurtis Dejong 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
Kurtis Dejong, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000	Kurtis Dejong, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000

Reviews and Comments

Emergency Medicine Doctors in Mishawaka, IN

Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000
Kathleen Long, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795
Jonathan Neil Shenk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000
Mariah Smith, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mark Lawrence Kricheff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000

Kurtis Dejong, MD - Medicare Emergency Medicine in Mishawaka, IN