| John H Fallon, MD | |
|
10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | |
| (260) 426-8117 | |
| (260) 420-0817 |
| Full Name | John H Fallon |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 10021 Dupont Circle Ct, 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 |
|---|---|---|---|
| 1326040395 | NPI | - | NPPES |
| 100261520A | Medicaid | IN | |
| 040014980 | Other | IN | RR MEDICARE |
| 0827850 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 01035289A (Indiana) | Primary |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| John H Fallon, MD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 | John H Fallon, MD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 |
Stephen J. Schreck, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Dr. Paul William Porter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 | |
Adam R Kaiser, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Deepkaran K Reddy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Michael J Disher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825 Phone: 260-387-5820 | |
David W Stein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Mohan K Rao, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 |