Qhg Of Fort Wayne Company Llc | |
7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | |
(260) 458-3843 | |
(260) 637-1601 |
Full Name | Qhg Of Fort Wayne Company Llc |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 7333 W Jefferson Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619918026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Delynn H Elzey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407894611 PECOS PAC ID: 2961678529 Enrollment ID: I20120103000225 |
Provider Name | Steven E Ross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982648895 PECOS PAC ID: 2668648221 Enrollment ID: I20120103000248 |
Provider Name | Andrea D Beard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891049086 PECOS PAC ID: 8426290453 Enrollment ID: I20130805000147 |
Provider Name | Kimberly A. Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245850106 PECOS PAC ID: 5799106449 Enrollment ID: I20200604000762 |
Provider Name | Parth Anantbhai Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326655630 PECOS PAC ID: 7517303225 Enrollment ID: I20240315001229 |
Mailing Address | Practice Location Address |
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Qhg Of Fort Wayne Company Llc Po Box 689022, Franklin, TN 37068-9022 Ph: () - | Qhg Of Fort Wayne Company Llc 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 Ph: (260) 458-3843 |