| Sara C Herstad, DO | |
|
3909 New Vision Dr, Fort Wayne, IN 46845-1725 | |
| (260) 469-6610 | |
| (260) 969-3065 |
| Full Name | Sara C Herstad |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 3909 New Vision Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629152103 | NPI | - | NPPES |
| 200832180 | Medicaid | IN | |
| 26176564 | Medicaid | CO | |
| 021274 | Other | CO | KAISER COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02003108A (Indiana) | Primary |
| Entity Name | Cmdpn Medical Group of Washington P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316422454 PECOS PAC ID: 8527411446 Enrollment ID: O20240126003661 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara C Herstad, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: Not Available | Sara C Herstad, DO 3909 New Vision Dr, Fort Wayne, IN 46845-1725 Ph: (260) 469-6610 |
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 |