| Tianyi David Luo, MD | |
|
7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | |
| (260) 234-5400 | |
| (317) 222-2373 |
| Full Name | Tianyi David Luo |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 7230 Engle Rd Ste 100, 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 |
|---|---|---|---|
| 1841607710 | NPI | - | NPPES |
| 300084534 | Medicaid | IN |
| Entity Name | Orthopaedics Northeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740268796 PECOS PAC ID: 9234024878 Enrollment ID: O20040405001087 |
| Entity Name | Hospital Medicine Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225680705 PECOS PAC ID: 6901232842 Enrollment ID: O20200212001499 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Entity Name | Indiana Joint Replacement Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871222422 PECOS PAC ID: 8123400058 Enrollment ID: O20220809001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Tianyi David Luo, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Tianyi David Luo, MD 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 Ph: (260) 234-5400 |
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 | |
Adam D Hall, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 |