BETHANY ANN WAIT DO
NPI 1447458096
Family Medicine in South Bend, IN
About Bethany Ann Wait Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY ANN WAIT DO (NPI 1447458096) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (02003383A) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethany Ann Wait Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Bethany Wait reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elkhart, IN 46516
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Heart City Health Center Inc
- 46 clinicians in this Medicare group
Goshen, IN 46526
- Reassigned Medicare billing, Indiana enrollment
- 36 clinicians in this Medicare group
Goshen, IN 46526
- Reassigned Medicare billing, Indiana enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46619 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46619
SOUTH BEND, IN 46619
SOUTH BEND, IN 46619
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Wait's NPI number?
The NPI number for Bethany Wait is 1447458096. It was assigned to this individual provider in the NPPES registry on July 5, 2007.
Where is Bethany Wait located?
Bethany Wait practices at 1901 W Western Ave Ste B, South Bend, IN 46619. The listed phone number is (574) 234-9033.
What is Bethany Wait's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bethany Wait enrolled in Medicare?
Yes. Bethany Wait is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bethany Wait's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Wait reassigns Medicare benefits to 3 organizations: Healthlinc, Inc (Elkhart, IN), Maple City Health Care Center, Inc (Goshen, IN) and Goshen Family Physicians (Goshen, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Wait's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Wait accept?
Health plans from CareSource list Bethany Wait as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bethany Wait affiliated with any hospitals?
According to CMS data, Bethany Wait is affiliated with Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Bethany Wait was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bethany Ann Wait, DO · NPI 1447458096
Family Medicine physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since July 5, 2007.
## Identity
- **NPI:** 1447458096 (Entity type: Individual)
- **Enumerated:** July 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02003383A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 W WESTERN AVE STE B, South Bend, IN 46619-3521
- **Phone:** (574) 234-9033 · **Fax:** (574) 847-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healthlinc, Inc (NPI 1720033418, Elkhart, IN); Maple City Health Care Center, Inc (NPI 1275220303, Goshen, IN); Goshen Family Physicians (NPI 1033292735, Goshen, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2007
## Record status
- **NPPES last updated:** June 22, 2023
- **Other identifiers:** Other 02003383A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1447458096) · Data from the CMS NPPES public registry.