| Advanced Care Connections Llc | |
|
3010 Independence Dr Fort Wayne IN 46808-1328 | |
| (260) 739-5821 | |
| Not Available |
| Full Name | Advanced Care Connections Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3010 Independence Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Melissa Ottenweller (NURSE PRACTITIONER) |
| Authorized Official Contact | 2607395821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Connections Llc 3010 Independence Dr Fort Wayne IN 46808-1328 Ph: () - | Advanced Care Connections Llc 3010 Independence Dr Fort Wayne IN 46808-1328 Ph: (260) 739-5821 |
| NPI Number | 1780059790 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 5799080511 |
|---|---|
| Medicare Enrollment ID | O20160216001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780059790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nikki Joy Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336278753 PECOS PAC ID: 3375649254 Enrollment ID: I20070509000748 |
| Provider Name | Victoria Heinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548234438 PECOS PAC ID: 1850429010 Enrollment ID: I20100507000597 |
| Provider Name | Melissa Sue Ottenweller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881938736 PECOS PAC ID: 6608029020 Enrollment ID: I20130116000169 |
| Provider Name | Linzie Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473255 PECOS PAC ID: 2163752056 Enrollment ID: I20190918003331 |
Aptcare In 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845 Phone: 260-602-9574 | |
Northeast Medical Associates, Pc Primary Care Clinic 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 | |
Anthony Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-447-8982 Fax: 260-447-4483 | |
Brooklyn Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-747-6171 Fax: 260-478-5125 | |
Community Open Mri Of Auburn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 | |
Ashraf H. Hanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 | |
Act 3 Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 Trier Rd, Fort Wayne, IN 46815 Phone: 260-515-3275 |