| Dr Benny Fair Jr, DPM | |
|
2700 Lafayette St, Suite 120, Fort Wayne, IN 46806-1100 | |
| (260) 458-9953 | |
| (260) 458-9238 |
| Full Name | Dr Benny Fair Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 35 Years |
| Location | 2700 Lafayette St, 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 |
|---|---|---|---|
| 1295838365 | NPI | - | NPPES |
| 000000331259 | Other | BLUE CROSS | |
| 100082090A | Medicaid | IN | |
| P00128864 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000728 (Indiana) | Primary |
| Provider Name | Lafayette Foot And Ankle Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003193814 PECOS PAC ID: 6901703313 Enrollment ID: O20031215000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benny Fair Jr, DPM 2700 Lafayette St, Ste 100, Fort Wayne, IN 46806-1100 Ph: (260) 458-9953 | Dr Benny Fair Jr, DPM 2700 Lafayette St, Suite 120, Fort Wayne, IN 46806-1100 Ph: (260) 458-9953 |
Lafayette Foot And Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Lafayette St Ste 230, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238 | |
Lafayette Foot And Ankle Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238 | |
Gage Manning Caudell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. Dominick Detommaso, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. Jonathan Detommaso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Julie Ferland, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-425-6300 Fax: 260-266-7355 | |
Toes R Us Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bluffton Rd, Fort Wayne, IN 46809 Phone: 260-747-5572 Fax: 260-747-8392 |