Dr Chuck G Nwakanma, | |
2200 Randallia Dr., Fort Wayne, IN 46805-4738 | |
(260) 373-6315 | |
(260) 373-6348 |
Full Name | Dr Chuck G Nwakanma |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 32 Years |
Location | 2200 Randallia Dr., 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 |
---|---|---|---|
1417984063 | NPI | - | NPPES |
000000635990 | Other | IN | ANTHEM |
000000772101 | Other | IN | BCBS |
200962220 | Medicaid | IN | |
P00803485 | Other | IN | R.R. MEDICARE |
Facility Name | Location | Facility Type |
---|---|---|
La Porte Hospital | La porte, IN | Hospital |
Indiana University Health Starke Hospital | Knox, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Porte Clinic Company Llc | 0446558357 | 61 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Entity Name | La Porte Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Mailing Address | Practice Location Address |
---|---|
Dr Chuck G Nwakanma, 1234 E. Dupont Rd., Suite 3, Fort Wayne, IN 46825-1545 Ph: (260) 373-9728 | Dr Chuck G Nwakanma, 2200 Randallia Dr., Fort Wayne, IN 46805-4738 Ph: (260) 373-6315 |
Dr. Dustin M Thomas, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |