| Robert Todd Rickman, MD | |
|
7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 432-2297 | |
| (260) 458-3301 |
| Full Name | Robert Todd Rickman |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 18 Years |
| Location | 7950 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1417168782 | NPI | - | NPPES |
| 50970 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Coushatta Health Care Center | Coushatta, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk North Pulmonary And Critical Care | 1759382856 | 21 |
| Knd Development 59 Llc | 3678602802 | 128 |
| Minden Physician Practices Llc | 4789720004 | 40 |
| Northwest Louisiana Intensivists Llc | 6204366958 | 11 |
| Clhg-ruston Llc | 7315361425 | 20 |
| Entity Name | Green Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
| Entity Name | Wk North Pulmonary & Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265529648 PECOS PAC ID: 1759382856 Enrollment ID: O20070116000196 |
| Entity Name | Minden Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497986764 PECOS PAC ID: 4789720004 Enrollment ID: O20090930000103 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20181106002747 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Entity Name | Clhg-ruston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154012185 PECOS PAC ID: 7315361425 Enrollment ID: O20220718002173 |
| Entity Name | Chg Hospital West Monroe, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134518632 PECOS PAC ID: 7517285950 Enrollment ID: O20221101000123 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558058917 PECOS PAC ID: 3678602802 Enrollment ID: O20230525001550 |
| Entity Name | Northeast Louisiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407637671 PECOS PAC ID: 2365885944 Enrollment ID: O20240212000148 |
| Entity Name | Northwest Louisiana Intensivists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497567275 PECOS PAC ID: 6204366958 Enrollment ID: O20250210003204 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Todd Rickman, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Robert Todd Rickman, MD 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297 |
Dr. Dustin M Thomas, MD Critical Care Medicine 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 Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Critical Care Medicine 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 Critical Care Medicine 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 Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |