| Samantha Gary, | |
|
1146 N Cass St Ste C, Wabash, IN 46992-1082 | |
| (260) 560-3001 | |
| Not Available |
| Full Name | Samantha Gary |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1146 N Cass St Ste C, Wabash, 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 |
|---|---|---|---|
| 1396462800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 10004134A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Lutheran Downtown Hospital | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Llc | 1951721802 | 30 |
| Bradley Bibb Md Pllc | 4789715285 | 71 |
| Entity Name | Emergency Professionals of Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Inphynet Primary Care Physicians Midwest, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090610 PECOS PAC ID: 6507808946 Enrollment ID: O20050525001352 |
| Entity Name | Access Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831810431 PECOS PAC ID: 1951721802 Enrollment ID: O20220930001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Gary, 1146 N Cass St Ste C, Wabash, IN 46992-1082 Ph: (260) 560-3001 | Samantha Gary, 1146 N Cass St Ste C, Wabash, IN 46992-1082 Ph: (260) 560-3001 |
Sherise L.e. Deardorff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-2983 Fax: 260-569-2990 |
Collin Quinlan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 |