| Dr Walter E Fritz, MD | |
|
1002 S Edgewood Dr, Knox, IN 46534-8226 | |
| (574) 772-2188 | |
| (574) 772-2190 |
| Full Name | Dr Walter E Fritz |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1002 S Edgewood Dr, Knox, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851330112 | NPI | - | NPPES |
| 000000083056 | Other | IN | BLUE CROSS PIN NUMBER |
| 87-0778393 | Other | IN | TAX IDENTIFICATION NUMBER |
| 01024309A | Other | IN | WALTER FRITZ,M.D. LICENSE |
| 200897290 | Medicaid | IN | |
| 351301967 | Other | IN | TAX ID |
| 100225090A | Medicaid | IN | |
| 200020860A | Medicaid | IN | |
| 50000720A | Other | IN | CORPORATION LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01024309A (Indiana) | Primary |
| Entity Name | Knox Winamac Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629248919 PECOS PAC ID: 9537229802 Enrollment ID: O20100113000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter E Fritz, MD 1002 S Edgewood Dr, Knox, IN 46534-8226 Ph: (574) 772-2188 | Dr Walter E Fritz, MD 1002 S Edgewood Dr, Knox, IN 46534-8226 Ph: (574) 772-2188 |
Dr. Theresa M Alexander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 S Edgewood Dr, Knox, IN 46534 Phone: 574-772-5505 Fax: 574-772-6151 | |
Thomas Michael Browne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894 |