Dr Timothy J Hodgini, DO | |
12207 Cree Ct, Fort Wayne, IN 46814-9162 | |
(260) 602-4892 | |
(260) 625-5732 |
Full Name | Dr Timothy J Hodgini |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12207 Cree Ct, 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 |
---|---|---|---|
1497740898 | NPI | - | NPPES |
000000197634 | Other | IN | ANTHEM |
2517173 | Medicaid | OH | |
000000008051 | Other | MPLAN | |
114874534 | Medicaid | MI | |
100462990 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02001358A (Indiana) | Primary |
Entity Name | Nes Of Sandusky Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy J Hodgini, DO 12207 Cree Ct, Fort Wayne, IN 46814-9162 Ph: (260) 602-4892 | Dr Timothy J Hodgini, DO 12207 Cree Ct, Fort Wayne, IN 46814-9162 Ph: (260) 602-4892 |
Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828 | |
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167 | |
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937 | |
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 |