| Dr George Robert Kolettis, MD | |
|
7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | |
| (260) 436-8686 | |
| Not Available |
| Full Name | Dr George Robert Kolettis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 8 Years |
| Location | 7601 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1083177422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01096230A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Florida Hospital Carrollwood | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musculoskeletal Institute Chartered | 1052224102 | 130 |
| Tallahassee Orthopedic Clinic Iii Pl | 4284532755 | 461 |
| Entity Name | Musculoskeletal Institute Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386639920 PECOS PAC ID: 1052224102 Enrollment ID: O20031106000215 |
| Entity Name | Tallahassee Orthopedic Clinic Iii Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194778050 PECOS PAC ID: 4284532755 Enrollment ID: O20031222000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Robert Kolettis, MD Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (260) 436-8686 | Dr George Robert Kolettis, MD 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686 |
Ian R Nelson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. John Paul Magno Manalo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 | |
William H Couch, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5050 N Clinton Street, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-484-9603 | |
Steven Robert Eddy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
David A Goertzen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Joseph M Mattox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 |