| Robert L Piasecki, DO | |
|
7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 432-2297 | |
| (260) 434-6481 |
| Full Name | Robert L Piasecki |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 7916 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1790854982 | NPI | - | NPPES |
| 1151100074 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 1790854982 | Medicaid | MI | |
| P55547 | Other | MI | BCNM INDIVIDUAL NUMBER |
| 300017715 | Medicaid | IN |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Piasecki, DO 1941 S Baney Rd, Ste 400, Ashland, OH 44805-4502 Ph: (419) 207-2375 | Robert L Piasecki, DO 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297 |
Dr. Dustin M Thomas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 |
Ahmad Alhariri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 |
Dr. Anuradha G Bommakanti, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 |
Eileen Jill Ramos Muzzillo, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 |
John T Ducker, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 |
Mr. Kenneth A Smith, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 |
Dr. Carl M Williams, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |