| Joseph D Fortin, DO | |
|
9502 Lima Road, Ste 103, Fort Wayne, IN 46818-9270 | |
| (260) 459-7313 | |
| (260) 436-0628 |
| Full Name | Joseph D Fortin |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 41 Years |
| Location | 9502 Lima Road, 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 |
|---|---|---|---|
| 1841292612 | NPI | - | NPPES |
| 200024910A | Medicaid | IN | |
| 250008768 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 02001553A (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 02001553A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Entity Name | Spine Technology And Rehabilitation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245213263 PECOS PAC ID: 2860390150 Enrollment ID: O20040601000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph D Fortin, DO 9502 Lima Road, Suite 103, Fort Wayne, IN 46818-9270 Ph: (260) 459-7313 | Joseph D Fortin, DO 9502 Lima Road, Ste 103, Fort Wayne, IN 46818-9270 Ph: (260) 459-7313 |
Charles S Lindzy, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 14104 Peddlers Ford, Fort Wayne, IN 46814 Phone: 260-672-2172 | |
Dr. Thomas L Lazoff, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-458-3640 Fax: 260-479-1819 | |
Dr. Stephen James Hatch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 10228 Dupont Circle Dr E, Fort Wayne, IN 46825 Phone: 260-490-2525 Fax: 260-490-7254 | |
George David Bojrab, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10228 Dupont Circle Dr E, Fort Wayne, IN 46825 Phone: 260-490-2525 Fax: 260-490-7254 |