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

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 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medstat Llc, 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



Physician's Profile

Full NameShawn E Kidder
GenderMale
SpecialityFamily Practice
Experience34 Years
Location2235 Dubois Drive, Warsaw, 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:
  • 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.
IdentifierTypeStateIssuer
1831151869NPI-NPPES
200089430MedicaidIN
000000634019OtherINANTHEM
000000664741OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine IN02001281 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthFort wayne, INHome health agency
Kosciusko Community HospitalWarsaw, INHospital
Parkview Whitley HospitalColumbia city, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstat Llc347652647611
Kosciusko Medical Group Llc549680995650

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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. Shawn E Kidder allows following entities to bill medicare on his behalf.
Entity NameMedstat Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942388368
PECOS PAC ID: 3476526476
Enrollment ID: O20040817001482

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Entity NameKosciusko Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932349594
PECOS PAC ID: 5496809956
Enrollment ID: O20090818000398

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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. 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 AddressPractice 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

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Family Medicine Doctors in Warsaw, IN

Douglas E. Sawyer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2235 Dubois Dr, Warsaw, IN 46580
Phone: 574-267-8189    Fax: 574-267-7554
Daniel Louis Loney, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
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    

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