| Dominick Joseph Acquaro, DO | |
|
7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 | |
| (260) 459-0087 | |
| (260) 969-8514 |
| Full Name | Dominick Joseph Acquaro |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7806 W Jefferson Blvd Ste E, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930737 | NPI | - | NPPES |
| PENDING | Other | IN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02006542A (Indiana) | Primary |
| Entity Name | Dominick Acquaro |
|---|---|
| Entity Type | Practitioner - Internal Medicine |
| Entity Identifiers | NPI Number: 1437265584 PECOS PAC ID: 6709821374 Enrollment ID: I20050623000651 |
| Entity Name | Acquaro Medical Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063276590 PECOS PAC ID: 2163965948 Enrollment ID: O20240621000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick Joseph Acquaro, DO 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 Ph: (260) 459-0087 | Dominick Joseph Acquaro, DO 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 Ph: (260) 459-0087 |
Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475 | |
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601 | |
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941 | |
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065 | |
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761 | |
Austin Trump, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-399-4232 |