| Dr Jared Coffman, MD | |
|
1721 Magnavox Way, Fort Wayne, IN 46804-1537 | |
| (260) 748-3650 | |
| (260) 569-2305 |
| Full Name | Dr Jared Coffman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 1721 Magnavox Way, 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 |
|---|---|---|---|
| 1053579151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01065791A (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01065791A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Racc Medical Associates Llc | 0648424127 | 21 |
| Entity Name | Racc Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184976136 PECOS PAC ID: 0648424127 Enrollment ID: O20130209000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared Coffman, MD 1721 Magnavox Way, Fort Wayne, IN 46804-1537 Ph: (260) 748-3650 | Dr Jared Coffman, MD 1721 Magnavox Way, Fort Wayne, IN 46804-1537 Ph: (260) 748-3650 |
Charles S Lindzy, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 14104 Peddlers Ford, Fort Wayne, IN 46814 Phone: 260-672-2172 | |
Dr. Thomas L Lazoff, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-458-3640 Fax: 260-479-1819 | |
Dr. Stephen James Hatch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 10228 Dupont Circle Dr E, Fort Wayne, IN 46825 Phone: 260-490-2525 Fax: 260-490-7254 | |
George David Bojrab, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10228 Dupont Circle Dr E, Fort Wayne, IN 46825 Phone: 260-490-2525 Fax: 260-490-7254 |