Dr Andre Byard Stovall, MD | |
5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | |
(260) 432-1568 | |
(260) 432-4969 |
Full Name | Dr Andre Byard Stovall |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 5001 Us Highway 30 W Ste D, 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 |
---|---|---|---|
1013988294 | NPI | - | NPPES |
1013988294 | Medicaid | MI | |
2030386 | Medicaid | OH | |
200129240 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01046801 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Marion General Hospital | Marion, IN | Hospital |
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Bluffton Regional Medical Center | Bluffton, IN | Hospital |
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Radiology Pc | 0143295410 | 78 |
X-ray Physicians Of Shelbyville Pc | 2264420215 | 48 |
Summit Radiology Pc | 0143295410 | 78 |
X-ray Physicians Of Shelbyville Pc | 2264420215 | 48 |
Kosciusko Medical Group Llc | 5496809956 | 50 |
Henry County Memorial Hospital | 6002724085 | 123 |
X-ray Physicians Of Shelbyville Pc | 2264420215 | 48 |
Entity Name | Summit Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20081222000511 |
Entity Name | X-ray Physicians Of Shelbyville Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144351347 PECOS PAC ID: 2264420215 Enrollment ID: O20211014000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Andre Byard Stovall, MD Po Box 80070, Fort Wayne, IN 46898-0070 Ph: (260) 432-1568 | Dr Andre Byard Stovall, MD 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 Ph: (260) 432-1568 |
Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919 | |
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290 | |
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919 | |
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919 | |
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969 | |
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 |