Dr James Terrence O'neill, DDS | |
7845 Carnegie Blvd, Fort Wayne, IN 46804 | |
(260) 423-2340 | |
(260) 969-4118 |
Full Name | Dr James Terrence O'neill |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 14 Years |
Location | 7845 Carnegie Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376701045 | NPI | - | NPPES |
2010252480 | Medicaid | IN | |
H192110 | Other | OH | MEDICAREPTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12010974A (Indiana) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 12010974A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Fulton County Health Center | Wauseon, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oral And Maxillofacial Surgery Associates Pc | 1557430766 | 7 |
Entity Name | Oral & Maxillofacial Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831264324 PECOS PAC ID: 1557430766 Enrollment ID: O20080514000274 |
Mailing Address | Practice Location Address |
---|---|
Dr James Terrence O'neill, DDS 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 Ph: (260) 423-2340 | Dr James Terrence O'neill, DDS 7845 Carnegie Blvd, Fort Wayne, IN 46804 Ph: (260) 423-2340 |
Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981 | |
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537 | |
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591 | |
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Dr. Lora Wonderly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596 | |
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554 | |
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486 |