Benjamin Matthew Hicks, MD | |
7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | |
(260) 436-8686 | |
(260) 436-8585 |
Full Name | Benjamin Matthew Hicks |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 33 Years |
Location | 7601 W Jefferson Blvd, 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 |
---|---|---|---|
1780687707 | NPI | - | NPPES |
00000089400 | Other | ANTHEM | |
200032481 | Other | RAILROAD MEDICARE | |
200089330A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 01046509A (Indiana) | Primary |
207X00000X | Orthopaedic Surgery | 01046509A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Health Network Home Health | Fort wayne, IN | Home health agency |
The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Bluffton Regional Medical Center | Bluffton, IN | Hospital |
Dukes Memorial Hospital | Peru, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Wayne Orthopaedics, Llc | 7618965286 | 55 |
Entity Name | Fort Wayne Orthopaedics, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497758429 PECOS PAC ID: 7618965286 Enrollment ID: O20040503001253 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Matthew Hicks, MD Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (260) 436-8686 | Benjamin Matthew Hicks, MD 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686 |
Ian R Nelson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. John Paul Magno Manalo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 | |
William H Couch, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5050 N Clinton Street, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-484-9603 | |
Steven Robert Eddy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
David A Goertzen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Joseph M Mattox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Adam D Hall, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 |