Adeline Mae Deladisma, MD in Fort Wayne, IN

Adeline Mae Deladisma, MD is a medicare enrolled "Surgery" physician in Fort Wayne, Indiana. She went to Pennsylvania State University College Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 484-9611.

Adeline Mae Deladisma is licensed to practice in Indiana (license number 01071770A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194845388.

Contact Information

	Adeline Mae Deladisma, MD
	11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713
	(260) 484-9611
	(260) 484-1004

Map and Direction

Physician's Profile

Full Name	Adeline Mae Deladisma
Gender	Female
Speciality	General Surgery
Experience	21 Years
Location	11141 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adeline Mae Deladisma attended and graduated from Pennsylvania State University College Of Medicine in 2004

NPI Data:

NPI Number: 1194845388
Provider Enumeration Date: 03/30/2007
Last Update Date: 10/12/2012

Medicare PECOS Information:

PECOS PAC ID: 0345410015
Enrollment ID: I20200803003347

Medical Identifiers

Medical identifiers for Adeline Mae Deladisma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194845388	NPI	-	NPPES
97509402	Other	MD	BCBS
97509403	Other	MD	BCBS
97509401	Other	MD	BCBS
V8080011	Other	DC	BCBS
V8380011	Other	DC	BCBS
V8740011	Other	DC	BCBS
045199100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	00498 (Georgia)	Secondary
208600000X	Surgery	D72711 (Maryland)	Secondary
208600000X	Surgery	01071770A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Florida Jacksonville Physicians, Inc.	9133025869	665

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adeline Mae Deladisma allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Adeline Mae Deladisma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adeline Mae Deladisma, MD 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 Ph: (260) 484-9611	Adeline Mae Deladisma, MD 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 Ph: (260) 484-9611

Reviews and Comments

Surgery Doctors in Fort Wayne, IN

Dr. Barton Wade Williams, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Dr. Ian H. Cook, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805 Phone: 260-426-5431
Dr. Patricia L Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Dr. Paul Mitchell Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Lindsay B Hardley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Kingsley Saahene Okai, MD Surgery Medicare: Medicare Enrolled Practice Location: 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804 Phone: 260-969-7121 Fax: 260-479-4614
Dr. Keith David Clancy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804 Phone: 260-458-3610 Fax: 260-458-3611

Adeline Mae Deladisma, MD - Medicare General Surgery in Fort Wayne, IN