Dr James Desimone, MD | |
3810 New Vision Dr, Fort Wayne, IN 46845-1708 | |
(260) 482-1004 | |
(260) 483-7894 |
Full Name | Dr James Desimone |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3810 New Vision Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427055771 | NPI | - | NPPES |
000000082073 | Other | IN | ANTHEM BC/BS |
7152 | Other | IN | PHP |
200118610A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01045846A (Indiana) | Primary |
Entity Name | Winchester Anesthesia Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972626117 PECOS PAC ID: 7315977196 Enrollment ID: O20050822000530 |
Mailing Address | Practice Location Address |
---|---|
Dr James Desimone, MD 3702 New Vision Dr, Ste B, Fort Wayne, IN 46845-1703 Ph: (260) 266-8210 | Dr James Desimone, MD 3810 New Vision Dr, Fort Wayne, IN 46845-1708 Ph: (260) 482-1004 |
Dr. Courtney J. Laubach, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Sarah Anne Lasalle, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Dr. Gregory C Pond, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 | |
James M Brackmann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 | |
Dr. Jared Coffman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1721 Magnavox Way, Fort Wayne, IN 46804 Phone: 260-748-3650 Fax: 260-569-2305 | |
Bradley L Schantz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 | |
Robert C Hathaway, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 |