Kenneth Mitchum Maynard, DO - Medicare Family Practice in Lizton, IN

Kenneth Mitchum Maynard, DO is a medicare enrolled "Family Medicine" physician in Lizton, Indiana. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hendricks County Hospital and his current practice location is 1045 Wyatt Way, Lizton, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 994-6600.

Kenneth Mitchum Maynard is licensed to practice in Indiana (license number 02000836A) 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 1730103730.

Contact Information

Kenneth Mitchum Maynard, DO
1045 Wyatt Way,
Lizton, IN 46149-9583
(317) 994-6600
(317) 994-6605



Physician's Profile

Full NameKenneth Mitchum Maynard
GenderMale
SpecialityFamily Practice
Experience40 Years
Location1045 Wyatt Way, Lizton, 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:
  • Kenneth Mitchum Maynard attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1984
  NPI Data:
  • NPI Number: 1730103730
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092865790
  • Enrollment ID: I20090617000567

Medical Identifiers

Medical identifiers for Kenneth Mitchum Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730103730NPI-NPPES
200932990MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02000836A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hendricks Regional HealthDanville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hendricks County Hospital4880505528274

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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. Kenneth Mitchum Maynard allows following entities to bill medicare on his behalf.
Entity NameHendricks County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063411551
PECOS PAC ID: 4880505528
Enrollment ID: O20040811000309

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Entity NameMedexpress Urgent Care Pc Indiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609114578
PECOS PAC ID: 8325286834
Enrollment ID: O20130522000565

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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. Kenneth Mitchum Maynard 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
Kenneth Mitchum Maynard, DO
1100 Southfield Dr, Suite 1370,
Plainfield, IN 46168-4498

Ph: (317) 837-5571
Kenneth Mitchum Maynard, DO
1045 Wyatt Way,
Lizton, IN 46149-9583

Ph: (317) 994-6600

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Family Medicine Doctors in Lizton, IN

Jennifer L Behrens, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 W Main St, Lizton, IN 46149
Phone: 317-520-2926    Fax: 585-312-6697
David M Stopperich, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1045 Wyatt Way, Lizton, IN 46149
Phone: 317-994-6600    Fax: 317-994-6605

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