| Lafayette Foot & Ankle Llc | |
|
2700 Lafayette St, Suite 100, Fort Wayne, IN 46806-1100 | |
| (260) 458-9953 | |
| (260) 458-9238 |
| Full Name | Lafayette Foot & Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2700 Lafayette St, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003193814 | NPI | - | NPPES |
| 100082090A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Benny Fair |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295838365 PECOS PAC ID: 7315844735 Enrollment ID: I20031215000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Foot & Ankle Llc 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806-1100 Ph: (260) 458-9953 | Lafayette Foot & Ankle Llc 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806-1100 Ph: (260) 458-9953 |
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 | |
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. Dominick Detommaso, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare 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 |