Richard A Stoldt, MD - Medicare Family Practice in South Bend, IN

Richard A Stoldt, MD is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He went to University Of Texas Medical School At Houston and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cameron Memorial Community Hospital Inc and his current practice location is 2930 W Cleveland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 520-2707.

Richard A Stoldt is licensed to practice in Indiana (license number 01037182) 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 1104863679.

Contact Information

Richard A Stoldt, MD
2930 W Cleveland Rd,
South Bend, IN 46628-6090
(574) 520-2707
(574) 520-2700

Map and Direction




Physician's Profile

Full NameRichard A Stoldt
GenderMale
SpecialityFamily Practice
Experience37 Years
Location2930 W Cleveland Rd, South Bend, 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:
  • Richard A Stoldt attended and graduated from University Of Texas Medical School At Houston in 1987
  NPI Data:
  • NPI Number: 1104863679
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 09/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284767849
  • Enrollment ID: I20100803000355

Medical Identifiers

Medical identifiers for Richard A Stoldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104863679NPI-NPPES
100092390AMedicaidIN
000000298320OtherINBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01037182 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cameron Memorial Community Hospital IncAngola, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cameron Memorial Community Hospital Inc923402083538

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. Richard A Stoldt allows following entities to bill medicare on his behalf.
Entity NameCameron Memorial Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521478
PECOS PAC ID: 9234020835
Enrollment ID: O20040323001008

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. Richard A Stoldt 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
Richard A Stoldt, MD
707 E Cedar St, Ste 200,
South Bend, IN 46617-2057

Ph: (574) 335-8700
Richard A Stoldt, MD
2930 W Cleveland Rd,
South Bend, IN 46628-6090

Ph: (574) 520-2707

Reviews and Comments


Family Medicine Doctors in South Bend, IN

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Dr. Curtis L Gongwer, MD
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Robert Hays, M.D.
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Matthew T. Dupre, MD
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Phone: 574-647-7477    Fax: 574-647-3655

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.