Dr E Jon Brandenberger, | |
1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 | |
(260) 425-6200 | |
(260) 425-6205 |
Full Name | Dr E Jon Brandenberger |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 1818 Carew St Ste 120, 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 |
---|---|---|---|
1649385519 | NPI | - | NPPES |
000000595565 | Other | IN | ANTHEM |
P00698403 | Other | IN | RAILROAD MEDICARE |
100369280A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01028550A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr E Jon Brandenberger, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dr E Jon Brandenberger, 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 Ph: (260) 425-6200 |
Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475 | |
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601 | |
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941 | |
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 | |
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 | |
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065 | |
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761 |