Alliance Health Centers, Inc. - Medicare Primary Care in Fort Wayne, IN

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Alliance Health Centers, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Wayne, Indiana. The current practice location for Alliance Health Centers, Inc. is 2700 Lafayette St Ste 110, Fort Wayne, Indiana. For appointments, you can reach them via phone at (812) 230-5150. The mailing address for Alliance Health Centers, Inc. is 2700 Lafayette St Ste 110, Fort Wayne, Indiana and phone number is (260) 266-0780.

Alliance Health Centers, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316556848. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 230-5150.

Contact Information

Alliance Health Centers, Inc.
2700 Lafayette St Ste 110
Fort Wayne
IN 46806-1100
(812) 230-5150
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAlliance Health Centers, Inc.
SpecialityClinic/Center
Location2700 Lafayette St Ste 110, Fort Wayne, Indiana
Authorized Official Name and PositionBrooke Lockhart (CEO)
Authorized Official Contact2602660780
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alliance Health Centers, Inc.
2700 Lafayette St Ste 110
Fort Wayne
IN 46806-1100

Ph: (260) 266-0780		Alliance Health Centers, Inc.
2700 Lafayette St Ste 110
Fort Wayne
IN 46806-1100

Ph: (812) 230-5150

NPI Details:

NPI Number1316556848
Provider Enumeration Date07/30/2020
Last Update Date06/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8022437318
Medicare Enrollment IDO20201006002848

Medical Identifiers

Medical identifiers for Alliance Health Centers, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316556848NPI-NPPES
300043694MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Alliance Health Centers, Inc. acts as a billing entity for following providers:
Provider NameAndrew C Barchus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891098745
PECOS PAC ID: 4789865163
Enrollment ID: I20110217000461
Provider NameThomas Anthony Giaquinta
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326281650
PECOS PAC ID: 4385893866
Enrollment ID: I20120926000605
Provider NameRyan T Grimm
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497072532
PECOS PAC ID: 7517100886
Enrollment ID: I20130905000779
Provider NameAllison Thorpe
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1508268848
PECOS PAC ID: 3476773680
Enrollment ID: I20141009001398
Provider NameJason Bailey
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1265694541
PECOS PAC ID: 6305071663
Enrollment ID: I20151112000101
Provider NameKara Yackee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013307131
PECOS PAC ID: 5890087563
Enrollment ID: I20160718000786
Provider NameJohn E Marx
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720491731
PECOS PAC ID: 2365669710
Enrollment ID: I20160728001914
Provider NameJanetta Fae Mccormick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801307848
PECOS PAC ID: 9234499682
Enrollment ID: I20180205001325
Provider NameDelaney Baumann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851891667
PECOS PAC ID: 5294097747
Enrollment ID: I20180320003172
Provider NameSherri Sue Albertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609437425
PECOS PAC ID: 9234464892
Enrollment ID: I20190718002060
Provider NameEric Shoemaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851749147
PECOS PAC ID: 7719278506
Enrollment ID: I20190722002937
Provider NameMelissa Ann Terry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083255855
PECOS PAC ID: 9234561804
Enrollment ID: I20191120000960
Provider NameKirby Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528553815
PECOS PAC ID: 7012343684
Enrollment ID: I20200130002715
Provider NameAudrey Sofair
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1326139833
PECOS PAC ID: 3072597905
Enrollment ID: I20200225000916
Provider NamePaige Tiernon
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1972135424
PECOS PAC ID: 2769813658
Enrollment ID: I20200508001750
Provider NameAiwen Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225561798
PECOS PAC ID: 1557787959
Enrollment ID: I20200817000921
Provider NameKaylee Athena Horvath
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1073122396
PECOS PAC ID: 3476960485
Enrollment ID: I20210318000675
Provider NameAmber M. Hiss
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063977833
PECOS PAC ID: 2860801990
Enrollment ID: I20210503000311
Provider NameKaitlyn M Pozorski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700469657
PECOS PAC ID: 9032518949
Enrollment ID: I20210526001353
Provider NameSarah Lenhart-webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558012831
PECOS PAC ID: 7719372697
Enrollment ID: I20220310001607
Provider NameAngela Noel Troyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013666825
PECOS PAC ID: 0547642902
Enrollment ID: I20220801002727
Provider NameBrandon Richard Baccari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588125330
PECOS PAC ID: 9739422239
Enrollment ID: I20220802000321
Provider NameLara Maria Lahr
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1942843701
PECOS PAC ID: 1456696616
Enrollment ID: I20230515000586
Provider NameAmy Rae Reeser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962188656
PECOS PAC ID: 8426418971
Enrollment ID: I20230717001017
Provider NameMark Alan Boxell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326817560
PECOS PAC ID: 1759727316
Enrollment ID: I20240306002017
Provider NameKristina Louise Wise
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720155492
PECOS PAC ID: 5294176442
Enrollment ID: I20240518000193
Provider NameRayyan Sami
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073179792
PECOS PAC ID: 2163757790
Enrollment ID: I20250424001232

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.