| Dr Joseph M Mlakar, MD | |
|
9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825-1629 | |
| (260) 490-4673 | |
| (260) 490-2165 |
| Full Name | Dr Joseph M Mlakar |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 9933 Dupont Circle Dr W Ste 120, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801897244 | NPI | - | NPPES |
| 200090070 | Medicaid | IN | |
| 2061487 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 01045481A (Indiana) | Primary |
| Entity Name | Plastic Surgery Innovations Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275624686 PECOS PAC ID: 1951405331 Enrollment ID: O20070323000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph M Mlakar, MD 9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825-1629 Ph: (260) 490-4673 | Dr Joseph M Mlakar, MD 9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825-1629 Ph: (260) 490-4673 |
Reid Robert Pflueger, DO Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 Phone: 260-490-7111 | |
Robert Nicholas Severinac, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825 Phone: 260-489-0099 Fax: 260-489-0066 | |
Guy G Crevecoeur, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Kevin L Berning, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Geoffrey M Randolph, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-9301 | |
Albert M Morrison, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-425-6960 Fax: 260-425-6965 | |
James R. Miller, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845 Phone: 260-266-8900 Fax: 260-266-8935 |