Linette I Grange, DO | |
1025 Manchester Ave, Wabash, IN 46992-1425 | |
(260) 563-7421 | |
(260) 569-2284 |
Full Name | Linette I Grange |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1025 Manchester Ave, Wabash, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982646485 | NPI | - | NPPES |
201007920 | Medicaid | IN | |
P01123184 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02003654 (Indiana) | Primary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Entity Name | Medexpress Urgent Care Pc Indiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609114578 PECOS PAC ID: 8325286834 Enrollment ID: O20130522000565 |
Mailing Address | Practice Location Address |
---|---|
Linette I Grange, DO 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: (260) 266-6013 | Linette I Grange, DO 1025 Manchester Ave, Wabash, IN 46992-1425 Ph: (260) 563-7421 |
James P Mccann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Mr. George Paul Schneider Ii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Charles Roger Lyons Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Manchester Ave, Wabash, IN 46992 Phone: 260-563-7421 Fax: 260-563-7725 | |
Grace L Stanley, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 | |
Rose A Wenrich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 | |
Stephen Fassino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 | |
Brian Davault, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 |