Christi Ann Wallace, MD | |
1302 Minnich Rd, New Haven, IN 46774-2052 | |
(260) 458-3200 | |
(260) 458-3205 |
Full Name | Christi Ann Wallace |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 1302 Minnich Rd, New Haven, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346535358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01072918A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
St Joseph Hospital | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Medical Group Llc | 4981751617 | 264 |
Entity Name | Lutheran Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Christi Ann Wallace, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3516 | Christi Ann Wallace, MD 1302 Minnich Rd, New Haven, IN 46774-2052 Ph: (260) 458-3200 |
Thomas W. Bond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Minnich Rd, New Haven, IN 46774 Phone: 260-425-5000 Fax: 260-425-5048 | |
Guy T Joassin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16617 Darling Rd, New Haven, IN 46774 Phone: 260-657-1335 | |
Michael S. Rumple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Minnich Rd, New Haven, IN 46774 Phone: 260-425-5000 Fax: 260-425-5048 | |
Thomas D. Smith Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1331 Minnich Rd, New Haven, IN 46774 Phone: 260-373-9600 Fax: 260-373-9602 | |
Lawrence F. Wuest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Minnich Rd, New Haven, IN 46774 Phone: 260-425-5000 Fax: 260-425-5048 |