Indiana University Health Fort Wayne Physicians, Llc - Medicare Primary Care in Muncie, IN

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Indiana University Health Fort Wayne Physicians, Llc is a medicare enrolled primary clinic (Family Medicine) in Muncie, Indiana. The current practice location for Indiana University Health Fort Wayne Physicians, Llc is 2401 W University Ave, Muncie, Indiana. For appointments, you can reach them via phone at (765) 747-3111. The mailing address for Indiana University Health Fort Wayne Physicians, Llc is 250 N Shadeland Ave, Indianapolis, Indiana and phone number is (888) 484-3258.

Indiana University Health Fort Wayne Physicians, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316550445. 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 (765) 747-3111.

Contact Information

Indiana University Health Fort Wayne Physicians, Llc
2401 W University Ave
Muncie
IN 47303-3428
(765) 747-3111
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIndiana University Health Fort Wayne Physicians, Llc
SpecialityFamily Medicine
Location2401 W University Ave, Muncie, Indiana
Authorized Official Name and PositionJonathan W. Vanator (CFO)
Authorized Official Contact3179633395
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Indiana University Health Fort Wayne Physicians, Llc
250 N Shadeland Ave
Indianapolis
IN 46219-4959

Ph: (888) 484-3258		Indiana University Health Fort Wayne Physicians, Llc
2401 W University Ave
Muncie
IN 47303-3428

Ph: (765) 747-3111

NPI Details:

NPI Number1316550445
Provider Enumeration Date08/28/2020
Last Update Date11/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5193138527
Medicare Enrollment IDO20210104001512

Medical Identifiers

Medical identifiers for Indiana University Health Fort Wayne Physicians, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316550445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Indiana University Health Fort Wayne Physicians, Llc acts as a billing entity for following providers:
Provider NameJustina M Girod
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497746895
PECOS PAC ID: 5294620373
Enrollment ID: I20040218000059
Provider NameJeffrey L Witt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073523098
PECOS PAC ID: 2961392469
Enrollment ID: I20040318000381
Provider NameAnthony C Henry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609867019
PECOS PAC ID: 2062487846
Enrollment ID: I20040826000922
Provider NameMadhav H Bhat
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376540823
PECOS PAC ID: 3375443039
Enrollment ID: I20040927000390
Provider NameKent Farnsworth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144296088
PECOS PAC ID: 1254231400
Enrollment ID: I20050228000038
Provider NameRobert M Meneghini
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356325187
PECOS PAC ID: 7113989310
Enrollment ID: I20050317000201
Provider NameAndrea L Haller
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407853146
PECOS PAC ID: 6406860071
Enrollment ID: I20060206000722
Provider NameStacy L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417907189
PECOS PAC ID: 7719986140
Enrollment ID: I20061213000392
Provider NameCynthia L Vanderbosch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235120544
PECOS PAC ID: 7517066145
Enrollment ID: I20070622000396
Provider NameJoseph Charles Muhler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912988056
PECOS PAC ID: 1153300173
Enrollment ID: I20070712000779
Provider NameJames C Stevens
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1437156239
PECOS PAC ID: 0648170308
Enrollment ID: I20070921000085
Provider NameJoel Jose C Valcarcel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982615852
PECOS PAC ID: 2264521921
Enrollment ID: I20071203000422
Provider NameJacqueline L Akey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770698623
PECOS PAC ID: 4981602737
Enrollment ID: I20090107000571
Provider NameSanjiv G Aggarwal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316917511
PECOS PAC ID: 0345397840
Enrollment ID: I20090421000394
Provider NameScott E Mattson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477523645
PECOS PAC ID: 0042311128
Enrollment ID: I20090421000640
Provider NameMarlene C Bultemeyer
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083828719
PECOS PAC ID: 2860528148
Enrollment ID: I20100325000499
Provider NameKaren E Springer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225035421
PECOS PAC ID: 1759413644
Enrollment ID: I20100712000539
Provider NameDavid E Lentz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285625566
PECOS PAC ID: 8325135056
Enrollment ID: I20100722000816
Provider NameMark A King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720079148
PECOS PAC ID: 2769461789
Enrollment ID: I20100806000833
Provider NameAjay S Gupta
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1487651873
PECOS PAC ID: 9931003779
Enrollment ID: I20100810000127
Provider NameIsa S Canavati
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1952308413
PECOS PAC ID: 0840190500
Enrollment ID: I20100811000319
Provider NameLoi K Phuong
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1841297041
PECOS PAC ID: 1355241910
Enrollment ID: I20101005000236
Provider NameAshraf H Hanna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720153919
PECOS PAC ID: 3274713656
Enrollment ID: I20110203000079
Provider NameHector F Perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952385866
PECOS PAC ID: 2961474945
Enrollment ID: I20111207000344
Provider NameJonathan J Gries
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801116819
PECOS PAC ID: 7911143789
Enrollment ID: I20131002000381
Provider NameAmanda K Lutter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912322264
PECOS PAC ID: 5092947523
Enrollment ID: I20140415001092
Provider NameKevin M Lowe
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376658864
PECOS PAC ID: 4486621133
Enrollment ID: I20141110001607
Provider NamePamela L Mcmaster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497130272
PECOS PAC ID: 8022327188
Enrollment ID: I20151013000278
Provider NameLauren J Stoffel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063827053
PECOS PAC ID: 2163649930
Enrollment ID: I20160608002527
Provider NameKevin L Witt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922441757
PECOS PAC ID: 5991949158
Enrollment ID: I20160815002859
Provider NameChung Ning Tan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619357779
PECOS PAC ID: 1052623394
Enrollment ID: I20161017000359
Provider NameJennifer L Ritchie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164880605
PECOS PAC ID: 6709185911
Enrollment ID: I20161020001231
Provider NameSyed M Hasan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689089674
PECOS PAC ID: 9931327475
Enrollment ID: I20161115001941
Provider NameAnthony Ward Feher
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932177821
PECOS PAC ID: 3476799453
Enrollment ID: I20161123000203
Provider NameBrittony C Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710462270
PECOS PAC ID: 4688928070
Enrollment ID: I20181121002849
Provider NameAdrienne M Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366901902
PECOS PAC ID: 1254673015
Enrollment ID: I20190425002523
Provider NameDebbie J Arevalo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194234237
PECOS PAC ID: 5193082287
Enrollment ID: I20190702000813
Provider NameShahnawaz Hussain Qureshi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1861603466
PECOS PAC ID: 6800068420
Enrollment ID: I20190814000226
Provider NameMolly A Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780112870
PECOS PAC ID: 7719215268
Enrollment ID: I20190822001414
Provider NameJoseph A Perkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205216363
PECOS PAC ID: 9537471974
Enrollment ID: I20200227001740
Provider NameStephanie S Kidd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689194813
PECOS PAC ID: 2264708064
Enrollment ID: I20200702001942
Provider NameRobert K Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700317633
PECOS PAC ID: 9739450487
Enrollment ID: I20200807002855
Provider NameRachel Grimmer Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194254243
PECOS PAC ID: 4688947955
Enrollment ID: I20200813000367
Provider NameRyan R Bean
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962939165
PECOS PAC ID: 5991073165
Enrollment ID: I20200827002078
Provider NameJan M Deguzman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477083848
PECOS PAC ID: 4880964758
Enrollment ID: I20200828001985
Provider NameSara Mae Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265041016
PECOS PAC ID: 7113338211
Enrollment ID: I20201120001657
Provider NameMatthew P Noyes
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922282219
PECOS PAC ID: 6901871557
Enrollment ID: I20211026000968
Provider NameNicholas M Wetjen
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1275502726
PECOS PAC ID: 6507779980
Enrollment ID: I20220607002487
Provider NameJason A Santiago
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053845289
PECOS PAC ID: 0840672184
Enrollment ID: I20220802003440
Provider NameCho Mar Aung
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457971608
PECOS PAC ID: 6901228196
Enrollment ID: I20230821002466

Reviews and Comments


Family Medicine in Muncie, IN

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Open Door Health Services Behavioral Health
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Practice Location: 1804-1806 West Royale Dr, Muncie, IN 47304
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Meridian Health Services Corp
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Medicare: Not Enrolled in Medicare
Practice Location: 2501 W Jackson St, Muncie, IN 47303
Phone: 765-288-1928    Fax: 765-741-0362
Iu Health Workplace Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 120 N Tillotson Ave, Muncie, IN 47304
Phone: 765-747-3888    
Open Door Health Services, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2600 W White River Blvd, Muncie, IN 47303
Phone: 765-286-7000    
Iu Health Ball Memorial Physicians
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 215 S Hutchinson Ave, Muncie, IN 47303
Phone: 765-281-6920    Fax: 765-284-6151

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.