| Matthew P Connor, NP | |
|
7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 432-2297 | |
| (260) 479-4602 |
| Full Name | Matthew P Connor |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 7916 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1427429943 | NPI | - | NPPES |
| 201329910 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 71005855A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Kosciusko Community Hospital | Warsaw, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 232 |
| 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 |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew P Connor, NP 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Matthew P Connor, NP 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297 |
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 |