John Addo, MD - Medicare Internal Medicine in Fort Wayne, IN

John Addo, MD is a medicare enrolled "Internal Medicine" physician in Fort Wayne, Indiana. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lutheran Medical Group Llc and his current practice location is 2622 Lake Ave, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-3100.

John Addo is licensed to practice in Indiana (license number 01044290) 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 1922063189.

Contact Information

John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410
(260) 425-3100
(260) 425-3604



Physician's Profile

Full NameJohn Addo
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location2622 Lake Ave, Fort Wayne, 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:
  • John Addo graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1922063189
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123163391
  • Enrollment ID: I20100227000090

Medical Identifiers

Medical identifiers for John Addo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922063189NPI-NPPES
200068810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 01044290A (Indiana)Secondary
207R00000XInternal Medicine 01044290 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalFort wayne, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital
Dupont Hospital LlcFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Medical Group Llc4981751617261

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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. John Addo allows following entities to bill medicare on his behalf.
Entity NameSt Joseph Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811952070
PECOS PAC ID: 2264413491
Enrollment ID: O20040525001030

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Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705

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› Verified 5 days ago

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. John Addo 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
John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100
John Addo, MD
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100

News Archive

Study: Bird brain can serve as useful model to study human brain

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› Verified 5 days ago


Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-5700    Fax: 260-266-5910
Ahmad Alhariri, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone: 260-266-2020    
Dr. Anuradha G Bommakanti, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-435-7001    
Eileen Jill Ramos Muzzillo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815
Phone: 260-425-5600    Fax: 260-425-5605
John T Ducker, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804
Phone: 260-494-3484    Fax: 260-969-0188
Mr. Kenneth A Smith, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825
Phone: 260-489-1666    Fax: 260-489-3255
Dr. Carl Marc Williams, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 260-373-9700    Fax: 260-373-9740

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