Alexander P Mathai, MD | |
2121 Lake Ave, Fort Wayne, IN 46805-5100 | |
(260) 526-5431 | |
Not Available |
Full Name | Alexander P Mathai |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 2121 Lake Ave, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104856608 | NPI | - | NPPES |
11589278 | Other | IN | CAQH |
000000485120 | Other | IN | ANTHEM |
2680111 | Medicaid | OH | |
200827920 | Medicaid | IN | |
POO390087 | Other | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01062241 (Indiana) | Secondary |
207R00000X | Internal Medicine | 01062241A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Visiting Nurse & Hospice Home | Fort wayne, IN | Hospice |
Canterbury Nursing And Rehabilitation Center | Fort wayne, IN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allen County Internal Medicine Pc | 0143447060 | 3 |
Cogent Healthcare Of Tennessee, Pc | 8628221165 | 56 |
Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
Hospitalist Medicine Physicians Of West Virginia, Pllc | 2860674488 | 63 |
Hospitalist Medicine Physicians Of Wisconsin Ltd | 7012061500 | 2 |
Hospitalist Medicine Physicians Of Ohio, Professional Corporation | 3779749197 | 119 |
Entity Name | Sound Physicians Of Indiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
Entity Name | Allen County Internal Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356755813 PECOS PAC ID: 0143447060 Enrollment ID: O20140815001608 |
Mailing Address | Practice Location Address |
---|---|
Alexander P Mathai, MD 12515 Golden Harvest Dr, Credentialing Department, Fort Wayne, IN 46845-9031 Ph: (217) 714-0220 | Alexander P Mathai, MD 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 526-5431 |
Dr. Dustin M Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |