Shawn E Kidder, DO in Warsaw, IN - Medicare Family Practice

Shawn E Kidder, DO is a medicare enrolled "Family Medicine" physician in Warsaw, Indiana. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kosciusko Medical Group Llc and his current practice location is 2235 Dubois Drive, Null, Warsaw, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 371-2625.

Shawn E Kidder is licensed to practice in Indiana (license number IN02001281) 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 1831151869.

Contact Information

	Shawn E Kidder, DO
	2235 Dubois Drive, Null, Warsaw, IN 46580-3212
	(574) 371-2625
	Not Available

Map and Direction

Physician's Profile

Full Name	Shawn E Kidder
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	2235 Dubois Drive, Warsaw, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shawn E Kidder attended and graduated from Michigan State University College Of Osteopathic Medicine in 1990

NPI Data:

NPI Number: 1831151869
Provider Enumeration Date: 04/05/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9133108715
Enrollment ID: I20040716000817

Medical Identifiers

Medical identifiers for Shawn E Kidder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831151869	NPI	-	NPPES
200089430	Medicaid	IN
000000634019	Other	IN	ANTHEM
000000664741	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	IN02001281 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kosciusko Community Hospital	Warsaw, IN	Hospital
Parkview Whitley Hospital	Columbia city, IN	Hospital
Dekalb Health	Auburn, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kosciusko Medical Group Llc	5496809956	35

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. Shawn E Kidder allows following entities to bill medicare on his behalf.

Entity Name	Medstat Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942388368 PECOS PAC ID: 3476526476 Enrollment ID: O20040817001482

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398

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. Shawn E Kidder 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
Shawn E Kidder, DO 1234 E Dupont Rd, Suite 3, Fort Wayne, IN 46825-1545 Ph: (260) 373-9700	Shawn E Kidder, DO 2235 Dubois Drive, Null, Warsaw, IN 46580-3212 Ph: (574) 371-2625

Reviews and Comments

Family Medicine Doctors in Warsaw, IN

Douglas E. Sawyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Daniel Louis Loney, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Provident Dr, Warsaw, IN 46580 Phone: 574-372-5868 Fax: 574-372-5869
Brian David Reichenbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Victoria M Watters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Sung Jae Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Scott Harlan Ehmen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 Fax: 574-372-7689
David Shaffer Darr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Provident Drive, Ste B, Warsaw, IN 46580 Phone: 574-268-4300

Shawn E Kidder, DO - Medicare Family Practice in Warsaw, IN