Dr Willis W Stevenson Iii, MD - Medicare Sports Medicine in Elkhart, IN

Dr Willis W Stevenson Iii, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Elkhart, Indiana. He went to University Of Pittsburgh School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc and his current practice location is 2310 California Road, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 264-4163.

Dr Willis W Stevenson Iii is licensed to practice in Indiana (license number 01062348A) 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 1780736645.

Contact Information

Dr Willis W Stevenson Iii, MD
2310 California Road,
Elkhart, IN 46514-1228
(574) 264-4163
(574) 262-9650



Physician's Profile

Full NameDr Willis W Stevenson Iii
GenderMale
SpecialitySports Medicine
Experience23 Years
Location2310 California Road, Elkhart, 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:
  • Dr Willis W Stevenson Iii attended and graduated from University Of Pittsburgh School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1780736645
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749387728
  • Enrollment ID: I20070529000041

Medical Identifiers

Medical identifiers for Dr Willis W Stevenson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780736645NPI-NPPES
01062348AOtherINMEDICAL LICENSE
200847880MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 01062348A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elkhart General HospitalElkhart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic And Sports Medicine Center Of Northern Indiana Inc084026010546

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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. Dr Willis W Stevenson Iii allows following entities to bill medicare on his behalf.
Entity NameOrthopedic And Sports Medicine Center Of Northern Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710085253
PECOS PAC ID: 0840260105
Enrollment ID: O20040727000002

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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. Dr Willis W Stevenson Iii 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
Dr Willis W Stevenson Iii, MD
2310 California Road,
Elkhart, IN 46514-1228

Ph: (574) 264-4163
Dr Willis W Stevenson Iii, MD
2310 California Road,
Elkhart, IN 46514-1228

Ph: (574) 264-4163

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Orthopaedic Surgery Doctors in Elkhart, IN

Robert K Ellis, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514
Phone: 574-264-4163    Fax: 574-262-9650
Mark A Klaassen, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2310 California Road, Ste A, Elkhart, IN 46514
Phone: 574-264-4163    Fax: 574-262-9650
Craig W Erekson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2310 California Road, Elkhart, IN 46514
Phone: 574-264-4163    Fax: 574-262-9650
Dr. Jon B Smucker, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2310 California Rd Ste A, Elkhart, IN 46514
Phone: 574-264-0791    Fax: 574-262-5183
Dr. Joseph Martin Caldwell Ii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2310 California Rd, Elkhart, IN 46514
Phone: 574-264-4163    Fax: 574-262-9650
Louis C Sfreddo, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2310 California Road, Elkhart, IN 46514
Phone: 574-264-4163    Fax: 574-262-9650
Leonard J Kibiloski, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514
Phone: 574-264-0791    Fax: 574-262-9650

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