| Dr Douglas A Scott, MD | |
|
401 N Sawyer Rd, Kendallville, IN 46755-2568 | |
| (260) 347-8700 | |
| Not Available |
| Full Name | Dr Douglas A Scott |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 401 N Sawyer Rd, Kendallville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770578817 | NPI | - | NPPES |
| 104874660 | Medicaid | MI | |
| 000000024482 | Other | MPLAN | |
| 200345880 | Medicaid | IN | |
| 000000212873 | Other | IN | ANTHEM |
| 2518618 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01047183A (Indiana) | Primary |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas A Scott, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 482-4440 | Dr Douglas A Scott, MD 401 N Sawyer Rd, Kendallville, IN 46755-2568 Ph: (260) 347-8700 |
Ruth Gordon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-482-4440 | |
Dr. Andrea Lynn Wierman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8180 |