| James Lebamoff, MD | |
|
10 John Kissinger Dr, Wabash, IN 46992-1648 | |
| (260) 563-3131 | |
| (260) 482-4442 |
| Full Name | James Lebamoff |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 10 John Kissinger Dr, Wabash, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932185279 | NPI | - | NPPES |
| 000000191935 | Other | IN | BC/BS |
| 200036420A | Medicaid | IN | |
| 930106017 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01036569 (Indiana) | Primary |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | Parkview Wabash Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1245259878 PECOS PAC ID: 0244553360 Enrollment ID: O20141222002050 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lebamoff, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 428-4440 | James Lebamoff, MD 10 John Kissinger Dr, Wabash, IN 46992-1648 Ph: (260) 563-3131 |
William Rauh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 |