Dr Lucas Berghoff, DO | |
2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | |
(260) 458-3035 | |
(260) 458-3036 |
Full Name | Dr Lucas Berghoff |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 7 Years |
Location | 2516 E Dupont Rd, 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 |
---|---|---|---|
1821521394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02005944A (Indiana) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 02005944A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dupont Hospital Llc | Fort wayne, IN | Hospital |
St Joseph Hospital | Fort wayne, IN | Hospital |
The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Medical Group Llc | 4981751617 | 264 |
Entity Name | Lutheran Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Dr Lucas Berghoff, DO 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 458-3035 | Dr Lucas Berghoff, DO 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 Ph: (260) 458-3035 |
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 |