Dr Michael Philip Dick, MD | |
3898 New Vision Dr, Fort Wayne, IN 46845 | |
(260) 425-5750 | |
(260) 425-5755 |
Full Name | Dr Michael Philip Dick |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3898 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 |
---|---|---|---|
1013936814 | NPI | - | NPPES |
2024786 | Medicaid | OH | |
100460690 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 01041905 (Indiana) | Secondary |
208000000X | Pediatrics | 01041905 (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Philip Dick, MD 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: (260) 266-6013 | Dr Michael Philip Dick, MD 3898 New Vision Dr, Fort Wayne, IN 46845 Ph: (260) 425-5750 |
Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459 | |
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763 | |
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007 | |
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337 | |
Osita Victor Ezeakudo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825 Phone: 260-432-4913 Fax: 260-969-6832 | |
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420 |