Dr Sable Paige Locke, MD | |
11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | |
(260) 425-5400 | |
(260) 425-5417 |
Full Name | Dr Sable Paige Locke |
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Gender | Female |
Speciality | Urology |
Location | 11141 Parkview Plaza Dr Ste 320, 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 |
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1043630916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01090912A (Indiana) | Primary |
Entity Name | Sharp Rees-stealy Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Mailing Address | Practice Location Address |
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Dr Sable Paige Locke, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dr Sable Paige Locke, MD 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 Ph: (260) 425-5400 |
Claire Aubrey, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947 | |
Nicholai Ian Kiehl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr, Suite 320, Fort Wayne, IN 46845 Phone: 260-482-8681 Fax: 260-266-9240 | |
Dr. Christopher J Keto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 205b, Fort Wayne, IN 46804 Phone: 260-458-3460 Fax: 260-458-3461 | |
Michael Rudoff, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947 | |
David L Pollifrone, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 | |
George W. Bowers, Urology Medicare: Not Enrolled in Medicare Practice Location: 12002 Haddington Court, Fort Wayne, IN 46814 Phone: 260-625-3872 Fax: 260-524-5390 |