| Bryan P Mathieson, NP | |
|
11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | |
| (260) 266-8900 | |
| (260) 266-8935 |
| Full Name | Bryan P Mathieson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 11141 Parkview Plaza Dr Ste 305, 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 |
|---|---|---|---|
| 1205022555 | NPI | - | NPPES |
| 200889510 | Medicaid | IN | |
| 000000584893 | Other | IN | ANTHEM |
| 3124112 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Reston Hospital Center | Reston, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Francis Medical Center | 9931007929 | 408 |
| Urgent Specialty Associates Pllc | 7618235995 | 52 |
| Urgent Specialty Associates Pllc | 7618235995 | 52 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan P Mathieson, NP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Bryan P Mathieson, NP 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 Ph: (260) 266-8900 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 |