| Dr Brett Alan Hagedorn, MD | |
|
7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | |
| (260) 436-0800 | |
| (260) 483-1911 |
| Full Name | Dr Brett Alan Hagedorn |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 7910 W Jefferson Blvd Ste 108, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275504458 | NPI | - | NPPES |
| 200179850 | Medicaid | IN | |
| 2068604 | Medicaid | OH | |
| 1275504458 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01048463 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Oaklawn Hospital | Marshall, MI | Hospital |
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Memorial Hospital | Logansport, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology P C | 0143295410 | 85 |
| Ella E M Brown Charitable Circle | 1254228745 | 141 |
| X-ray Physicians Of Shelbyville Pc | 2264420215 | 46 |
| Summit Radiology P C | 0143295410 | 85 |
| Ella E M Brown Charitable Circle | 1254228745 | 141 |
| X-ray Physicians Of Shelbyville Pc | 2264420215 | 46 |
| Henry County Memorial Hospital | 6002724085 | 136 |
| Summit Radiology P C | 0143295410 | 85 |
| X-ray Physicians Of Shelbyville Pc | 2264420215 | 46 |
| Summit Radiology P C | 0143295410 | 85 |
| Entity Name | Ella E M Brown Charitable Circle |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366591794 PECOS PAC ID: 1254228745 Enrollment ID: O20040616001008 |
| Entity Name | Summit Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20081222000511 |
| Entity Name | X-ray Physicians Of Shelbyville Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144351347 PECOS PAC ID: 2264420215 Enrollment ID: O20211014000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brett Alan Hagedorn, MD Po Box 749495, Atlanta, GA 30374-9495 Ph: (855) 963-2100 | Dr Brett Alan Hagedorn, MD 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 Ph: (260) 436-0800 |
Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919 | |
Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 | |
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290 | |
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919 | |
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919 | |
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969 | |
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 |