Dr Jonathan Detommaso, DPM in Fort Wayne, IN

Dr Jonathan Detommaso, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fort Wayne, Indiana. He went to Kent State University College Of Podiatric Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Fort Wayne Orthopaedics, Llc and his current practice location is 7601 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 436-8686.

Dr Jonathan Detommaso is licensed to practice in Indiana (license number 07001204A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033476304.

Contact Information

	Dr Jonathan Detommaso, DPM
	7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133
	(260) 436-8686
	(260) 436-8585

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Detommaso
Gender	Male
Speciality	Podiatry
Experience	12 Years
Location	7601 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.

Medical Education and Training:

Dr Jonathan Detommaso attended and graduated from Kent State University College Of Podiatric Medicine in 2012

NPI Data:

NPI Number: 1033476304
Provider Enumeration Date: 04/11/2012
Last Update Date: 11/07/2016

Medicare PECOS Information:

PECOS PAC ID: 2961713334
Enrollment ID: I20170501002525

Medical Identifiers

Medical identifiers for Dr Jonathan Detommaso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033476304	NPI	-	NPPES
P01524125	Other	IN	RAILROAD MEDICARE
201289140	Medicaid	IN
000000934131	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	07001204A (Indiana)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	07001204A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Orthopaedic Hospital Of Lutheran Health Networ	Fort wayne, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Cameron Memorial Community Hospital Inc	Angola, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Wayne Orthopaedics, Llc	7618965286	57

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jonathan Detommaso allows following entities to bill medicare on his behalf.

Provider Name	Fort Wayne Orthopaedics, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497758429 PECOS PAC ID: 7618965286 Enrollment ID: O20120613000331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Detommaso is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jonathan Detommaso, DPM Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (866) 401-3663	Dr Jonathan Detommaso, DPM 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686

Reviews and Comments

Podiatrist in Fort Wayne, IN

Lafayette Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St Ste 230, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238
Lafayette Foot & Ankle 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
Waynedale Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bluffton Rd, Fort Wayne, IN 46809 Phone: 260-747-5572 Fax: 260-747-8392
Dr. David K Wysong, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 3012 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-6830 Fax: 260-471-6704

Dr Jonathan Detommaso, DPM - Medicare Podiatrist in Fort Wayne, IN