| Isa S Canavati, MD | |
|
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 436-2416 | |
| (260) 436-6936 |
| Full Name | Isa S Canavati |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 47 Years |
| Location | 7956 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 |
|---|---|---|---|
| 1952308413 | NPI | - | NPPES |
| 100096050 | Medicaid | IN | |
| 0631105 | Medicaid | OH | |
| 140001925 | Other | IN | RR MEDICARE |
| 2745823 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 01035042A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Van Wert County Hospital | Van wert, OH | Hospital |
| The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
| Adams Memorial Hospital | Decatur, IN | Hospital |
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Physicians Inc | 5193625846 | 4 |
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Entity Name | Allied Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609867605 PECOS PAC ID: 5193625846 Enrollment ID: O20110815000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Isa S Canavati, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Isa S Canavati, MD 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 436-2416 |
Rudy A. Kachmann, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420 | |
Tyler Atkins, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 | |
Dr. Stephanie R Falatko, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 Fax: 260-425-6615 | |
Kevin Alton Vaught, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-969-7137 Fax: 260-435-7672 | |
Dr. Jason M Voorhies, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 Fax: 260-425-6615 | |
James C. Dozier, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-425-6780 Fax: 260-425-6615 | |
Loi K Phuong, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-6936 |