| Mark C Dickmeyer, MD | |
|
1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 | |
| (260) 425-6200 | |
| (260) 425-6205 |
| Full Name | Mark C Dickmeyer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1818 Carew St Ste 120, 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 |
|---|---|---|---|
| 1457349201 | NPI | - | NPPES |
| 30530200 | Medicaid | WI | |
| 763 | Other | WI | DEAN HEALTH INSURANCE |
| 000000777143 | Other | IN | ANTHEM |
| 200857350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01063502A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C Dickmeyer, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: Not Available | Mark C Dickmeyer, MD 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 Ph: (260) 425-6200 |
Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475 |
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601 |
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941 |
Gregory L Chupp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 |
Courtney Marie Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6507 E State Blvd, Fort Wayne, IN 46815 Phone: 260-486-3300 Fax: 260-485-3600 |
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065 |
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761 |