| Deloris Ann Marie Allen, NP | |
|
2200 Randallia Dr, Fort Wayne, IN 46805-4638 | |
| (260) 373-4000 | |
| Not Available |
| Full Name | Deloris Ann Marie Allen |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 2200 Randallia Dr, 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 |
|---|---|---|---|
| 1225895618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | PENDING (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 28242855A (Indiana) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
| Mailing Address | Practice Location Address |
|---|---|
| Deloris Ann Marie Allen, NP 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-4000 | Deloris Ann Marie Allen, NP 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-4000 |
Mckenna A Gottfried, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5500 Fax: 260-425-5525 | |
Sharon Worlton, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845 Phone: 260-494-3484 Fax: 260-969-0188 | |
Phillip Bassett, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 310, Fort Wayne, IN 46845 Phone: 260-266-8840 Fax: 260-266-8849 | |
Shannon L Decker, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Charles A Jones, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11055 Twin Creeks Cv, Fort Wayne, IN 46845 Phone: 260-425-6120 Fax: 260-425-6115 | |
Tammy Moehle, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Angela J Mcchessney, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845 Phone: 260-425-6940 Fax: 260-425-6949 |