Dr Alexandru Bogdan Tanase, MD in Fort Wayne, IN

Dr Alexandru Bogdan Tanase, MD is a medicare enrolled "Pediatrics" physician in Fort Wayne, Indiana. His current practice location is 2100 Goshen Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 471-3500.

Dr Alexandru Bogdan Tanase is licensed to practice in Indiana (license number 01080135A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760473144.

Contact Information

	Dr Alexandru Bogdan Tanase, MD
	2100 Goshen Rd, Fort Wayne, IN 46808-1493
	(260) 471-3500
	(260) 471-4263

Map and Direction

Physician's Profile

Full Name	Dr Alexandru Bogdan Tanase
Gender	Male
Speciality	Pediatrics
Location	2100 Goshen Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760473144
Provider Enumeration Date: 11/03/2005
Last Update Date: 10/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1355604521
Enrollment ID: I20180423000769

Medical Identifiers

Medical identifiers for Dr Alexandru Bogdan Tanase such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760473144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	28566 (Arizona)	Secondary
208000000X	Pediatrics	01080135A (Indiana)	Primary

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. Dr Alexandru Bogdan Tanase allows following entities to bill medicare on his behalf.

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398

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. Dr Alexandru Bogdan Tanase 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 Address	Practice Location Address
Dr Alexandru Bogdan Tanase, MD 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: (574) 267-7169	Dr Alexandru Bogdan Tanase, MD 2100 Goshen Rd, Fort Wayne, IN 46808-1493 Ph: (260) 471-3500

Reviews and Comments

Pediatrics Doctors in Fort Wayne, IN

Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337
Osita Victor Ezeakudo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825 Phone: 260-432-4913 Fax: 260-969-6832
Dr. Michael Philip Dick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3898 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5750 Fax: 260-425-5755
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420

Dr Alexandru Bogdan Tanase, MD - Medicare Pediatrics in Fort Wayne, IN