Fort Wayne Primary Care LLC - Medicare Primary Care in Fort Wayne, IN

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Fort Wayne Primary Care LLC is a medicare enrolled primary clinic (Internal Medicine) in Fort Wayne, Indiana. The current practice location for Fort Wayne Primary Care LLC is 7802 W Jefferson Blvd Ste A, Fort Wayne, Indiana. For appointments, you can reach them via phone at (260) 999-6924. The mailing address for Fort Wayne Primary Care LLC is 7802 W Jefferson Blvd Ste A, Fort Wayne, Indiana and phone number is (260) 999-6924.

Fort Wayne Primary Care LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1528707619. 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 (260) 999-6924.

Contact Information

Fort Wayne Primary Care LLC
7802 W Jefferson Blvd Ste A
Fort Wayne
IN 46804-4138
(260) 999-6924
(260) 222-2844

Map and Direction


Primary Care Clinic Profile

Full NameFort Wayne Primary Care LLC
SpecialityInternal Medicine
Location7802 W Jefferson Blvd Ste A, Fort Wayne, Indiana
Authorized Official Name and PositionVishaal Veerula (OWNER)
Authorized Official Contact2609996924
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fort Wayne Primary Care LLC
7802 W Jefferson Blvd Ste A
Fort Wayne
IN 46804-4138

Ph: (260) 999-6924		Fort Wayne Primary Care LLC
7802 W Jefferson Blvd Ste A
Fort Wayne
IN 46804-4138

Ph: (260) 999-6924

NPI Details:

NPI Number1528707619
Provider Enumeration Date05/27/2022
Last Update Date05/27/2022
Certification Date05/27/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6608258116
Medicare Enrollment IDO20220801000488

Medical Identifiers

Medical identifiers for Fort Wayne Primary Care LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528707619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fort Wayne Primary Care LLC acts as a billing entity for following providers:
Provider NameJessica R Ramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134553357
PECOS PAC ID: 3971524034
Enrollment ID: I20131112000747
Provider NameKathleen Vanderreyden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225668312
PECOS PAC ID: 1557799491
Enrollment ID: I20200307000064
Provider NameDenise Irene Houck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528338423
PECOS PAC ID: 8123285533
Enrollment ID: I20230117001796
Provider NameMary Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891031621
PECOS PAC ID: 9739333824
Enrollment ID: I20250922000426

Reviews and Comments

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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.