Wanda Averhart, MD in Lake Station, IN

Wanda Averhart, MD is a medicare enrolled "Pediatrics" physician in Lake Station, Indiana. Her current practice location is 2490 Central Ave, Lake Station, Indiana. You can reach out to her office (for appointments etc.) via phone at (216) 764-5399.

Wanda Averhart is licensed to practice in Indiana (license number 01088252A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598184632.

Contact Information

	Wanda Averhart, MD
	2490 Central Ave, Lake Station, IN 46405-2122
	(216) 764-5399
	Not Available

Map and Direction

Physician's Profile

Full Name	Wanda Averhart
Gender	Female
Speciality	Pediatrics
Location	2490 Central Ave, Lake Station, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598184632
Provider Enumeration Date: 04/15/2014
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0345542403
Enrollment ID: I20171012000726

Medical Identifiers

Medical identifiers for Wanda Averhart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598184632	NPI	-	NPPES
05412419	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01088252A (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. Wanda Averhart allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Wanda Averhart 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
Wanda Averhart, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (216) 764-5399	Wanda Averhart, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (216) 764-5399

Reviews and Comments

Pediatrics Doctors in Lake Station, IN

Saoussan Alfahel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1808
Shah Alam Chowdhury, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-764-5384
Dr. Ramadevi Sankaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1580

Wanda Averhart, MD - Medicare Pediatrics in Lake Station, IN