| Dr Harold Mustapha Bacchus Jr, MD | |
|
1719 Cremer Ave, Fort Wayne, IN 46818-1052 | |
| (260) 490-9150 | |
| (260) 490-9195 |
| Full Name | Dr Harold Mustapha Bacchus Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1719 Cremer Ave, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881654523 | NPI | - | NPPES |
| 000000634416 | Other | IN | ANTHEM |
| 200027190 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01034833 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harold Mustapha Bacchus Jr, MD 12002 Woodbourne Ct, Ft Wayne, IN 46845-1952 Ph: (260) 637-5303 | Dr Harold Mustapha Bacchus Jr, MD 1719 Cremer Ave, Fort Wayne, IN 46818-1052 Ph: (260) 490-9150 |
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 |