| Mark A Klaassen, MD | |
|
315 East 200 North, Ste A, Warsaw, IN 46582 | |
| (574) 264-4163 | |
| (574) 262-9650 |
| Full Name | Mark A Klaassen |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 315 East 200 North, Warsaw, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053325589 | NPI | - | NPPES |
| 100206940A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01031923A (Indiana) | Primary |
| Entity Name | Orthopedic And Sports Medicine Center Of Northern Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Klaassen, MD 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551 | Mark A Klaassen, MD 315 East 200 North, Ste A, Warsaw, IN 46582 Ph: (574) 264-4163 |
Leamon D Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste B, Warsaw, IN 46580 Phone: 574-269-8301 Fax: 574-269-8302 | |
Dr. Kyle Richard Carlson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste B, Warsaw, IN 46580 Phone: 260-484-8551 Fax: 260-482-5060 | |
Dr. Leo Dean Jansen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2124 N Biomet Dr, Warsaw, IN 46582 Phone: 574-267-2663 Fax: 574-267-4408 |