Dr Dominick Detommaso, DPM in Fort Wayne, IN

Dr Dominick Detommaso, DPM is a Podiatrist - Foot & Ankle Surgery based in Fort Wayne, Indiana. Dr Dominick Detommaso is licensed to practice in Indiana (license number 07000410A) and his current practice location is 7601 W Jefferson Blvd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 436-8686.

NPI number for Dr Dominick Detommaso is 1013910041 and his current mailing address is 7601 W Jefferson Blvd, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013910041.

Contact Information

	Dr Dominick 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 Dominick Detommaso
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	7601 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013910041
Provider Enumeration Date: 05/23/2005
Last Update Date: 03/22/2016

Medical Identifiers

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

Identifier	Type	State	Issuer
1013910041	NPI	-	NPPES
100053980A	Medicaid	IN
00000089407	Other		ANTHEM
200021084	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	07000410A (Indiana)	Primary
213E00000X	Podiatrist	07000410A (Indiana)	Secondary

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 Dominick Detommaso is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dominick Detommaso, DPM 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686	Dr Dominick 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. Jonathan Detommaso, DPM Podiatrist Medicare: Accepting Medicare Assignments 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 Dominick Detommaso, DPM - Podiatrist in Fort Wayne, IN