Benjamin Philip Fortney, MD | |
10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | |
(260) 436-7875 | |
(260) 432-9812 |
Full Name | Benjamin Philip Fortney |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 9 Years |
Location | 10315 Dawsons Creek Blvd Ste Ab, 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 |
---|---|---|---|
1366839219 | NPI | - | NPPES |
5315070194 | Other | MI | BOARD OF PHARMACY- CONTROLLED SUBSTANCE LICENSE |
4301107343 | Other | MI | BOARD OF MEDICINE- PHYSICIAN- EDUCATIONAL LIMITED |
11018622A | Other | IN | MEDICAL RESIDENCY PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01080939A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Dekalb Health | Auburn, IN | Hospital |
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Anesthesiologists Of Fort Wayne, Pc | 2264412444 | 103 |
Entity Name | Associated Anesthesiologists Of Fort Wayne, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Philip Fortney, MD Po Box 843603, Dallas, TX 75284-0001 Ph: (972) 233-1999 | Benjamin Philip Fortney, MD 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 Ph: (260) 436-7875 |
Dr. Courtney J. Laubach, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Sarah Anne Lasalle, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Dr. Gregory C Pond, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 | |
James M Brackmann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 | |
Dr. Jared Coffman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1721 Magnavox Way, Fort Wayne, IN 46804 Phone: 260-748-3650 Fax: 260-569-2305 | |
Bradley L Schantz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Robert C Hathaway, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 |