Dr Michael Robert Davis, MD | |
7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | |
(260) 458-3610 | |
(260) 458-3611 |
Full Name | Dr Michael Robert Davis |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 26 Years |
Location | 7900 W Jefferson Blvd Ste 306, 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 |
---|---|---|---|
1477622934 | NPI | - | NPPES |
009941892 | Medicaid | AL | |
051540216 | Other | AL | BCBS |
009941891 | Medicaid | AL | |
009942208 | Medicaid | AL | |
051540217 | Other | AL | BCBS |
051540215 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 26620 (Alabama) | Secondary |
208200000X | Plastic Surgery | P1857 (Texas) | Secondary |
208200000X | Plastic Surgery | 01053296A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Texas Aesthetic And Reconstructive Surgery Pllc | 5890078703 | 4 |
Entity Name | South Texas Aesthetic And Reconstructive Surgery Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285042556 PECOS PAC ID: 5890078703 Enrollment ID: O20170218000137 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Robert Davis, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Dr Michael Robert Davis, MD 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 Ph: (260) 458-3610 |
Reid Robert Pflueger, DO Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 Phone: 260-490-7111 | |
Robert Nicholas Severinac, M.D. Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825 Phone: 260-489-0099 Fax: 260-489-0066 | |
Guy G Crevecoeur, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Kevin L Berning, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Geoffrey M Randolph, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-9301 | |
Albert M Morrison, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-425-6960 Fax: 260-425-6965 | |
James R. Miller, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845 Phone: 260-266-8900 Fax: 260-266-8935 |