Douglas A Nuckols, MD | |
10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | |
(260) 426-8117 | |
(260) 420-0817 |
Full Name | Douglas A Nuckols |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 29 Years |
Location | 10021 Dupont Circle Ct, 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 |
---|---|---|---|
1982696837 | NPI | - | NPPES |
200262190 | Medicaid | IN | |
2207543 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01052220A (Indiana) | Primary |
207Y00000X | Otolaryngology | 35-07-8501 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ear, Nose And Throat Associates, Pc | 3375504301 | 36 |
Ear, Nose And Throat Associates, Pc | 3375504301 | 36 |
Entity Name | Ear, Nose & Throat Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851377691 PECOS PAC ID: 3375504301 Enrollment ID: O20060404000052 |
Mailing Address | Practice Location Address |
---|---|
Douglas A Nuckols, MD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 | Douglas A Nuckols, MD 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 Ph: (260) 426-8117 |
Stephen J. Schreck, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Dr. Paul William Porter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 | |
Adam R Kaiser, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Deepkaran K Reddy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Michael J Disher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825 Phone: 260-387-5820 Fax: 855-828-7823 | |
David W Stein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 | |
Mohan K Rao, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10021 Dupont Circle Ct, Fort Wayne, IN 46825 Phone: 260-426-8117 Fax: 260-420-0817 |