| 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 | 
| Location | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205022555 | NPI | - | NPPES | 
| 200889510 | Medicaid | IN | |
| 000000584893 | Other | IN | ANTHEM | 
| 3124112 | Medicaid | OH | 
| Entity Name | University Surgeons Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316966229 PECOS PAC ID: 9436171949 Enrollment ID: O20051228000112  | 
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672  | |
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  | |
Kara Yackee,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065  |