BETHANY ANN WAIT DO
NPI 1447458096
Family Medicine in South Bend, IN

Q: 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.

Q: What is Bethany Wait's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: 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.

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment

1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619(574) 234-9033(574) 847-7200 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Oct 14, 2021 (2 updates tracked since 2021).

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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

NPI1447458096

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBETHANY ANN WAITCredential: DO

Location Address1901 W WESTERN AVE STE BSouth Bend, IN 46619-3521

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (317) 343-6562

Phone(574) 234-9033

Fax(574) 847-7200

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2007

Enumeration DateJuly 5, 2007

Last NPPES UpdateJune 22, 20232 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1447458096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02003383A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1901 W WESTERN AVE STE B, South Bend, IN 46619

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Other Identifiers 1

Other02003383AIN · Physician

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6002972544

PECOS Enrollment IDI20090306000493

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. THERESA MARIE BARTOS HOLLADAY D.O.

Obstetrics & Gynecology