| Alyssa L Detommaso, PA-C | |
|
7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 432-4400 | |
| (260) 432-2723 |
| Full Name | Alyssa L Detommaso |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 7988 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1801339791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002198A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 251 |
| 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 |
| Entity Name | Lutheran Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa L Detommaso, PA-C 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 Ph: (260) 432-4400 | Alyssa L Detommaso, PA-C 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-4400 |
Abigail Mckensey Gann, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 |
Miss Jacqueline Shepard, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 |
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530 |
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 |
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 |
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442 |
Erin Leah Bauer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1700 |