Brian Davault, MD | |
8 John Kissinger Dr, Wabash, IN 46992-1648 | |
(260) 563-7451 | |
(260) 569-2284 |
Full Name | Brian Davault |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 8 John Kissinger Dr, Wabash, 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 |
---|---|---|---|
1467946368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01082532A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Wabash Hospital Inc | 0244553360 | 25 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Entity Name | Parkview Wabash Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891176590 PECOS PAC ID: 0244553360 Enrollment ID: O20181128002503 |
Mailing Address | Practice Location Address |
---|---|
Brian Davault, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Brian Davault, MD 8 John Kissinger Dr, Wabash, IN 46992-1648 Ph: (260) 563-7451 |
James P Mccann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Mr. George Paul Schneider Ii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Charles Roger Lyons Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Grace L Stanley, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 | |
Rose A Wenrich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 | |
Stephen Fassino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 |