| Thomas P Van Den Driessche, MD | |
|
3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 | |
| (260) 424-3134 | |
| (260) 424-3138 |
| Full Name | Thomas P Van Den Driessche |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 3030 Lake Ave, 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 |
|---|---|---|---|
| 1073507745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01028709A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dunes Hospice Llc | Valparaiso, IN | Hospice |
| Heartland Home Health Care And Hospice | Fort wayne, IN | Hospice |
| Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
| Woodlawn Hospital | Rochester, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Belltower Health & Rehabilitation Center | Granger, IN | Nursing home |
| Wellbrooke Of Wabash | Wabash, IN | Nursing home |
| Golden Living Center-fountainview Terrace | La porte, IN | Nursing home |
| Life Care Center Of Rochester | Rochester, IN | Nursing home |
| Golden Living Center-laporte | La porte, IN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Rpinmd Llc | 4183014616 | 10 |
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542 |
| Entity Name | Eventus Wh Midwest Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588481717 PECOS PAC ID: 1456880632 Enrollment ID: O20250203001519 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P Van Den Driessche, MD 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 Ph: (260) 424-3134 | Thomas P Van Den Driessche, MD 3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 Ph: (260) 424-3134 |
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: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
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 | |
Austin Trump, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-399-4232 |