Praveen Kollipara, MD | |
7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | |
(260) 484-8830 | |
(260) 483-1911 |
Full Name | Praveen Kollipara |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 38 Years |
Location | 7910 W Jefferson Blvd Ste 108, 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 |
---|---|---|---|
1073515987 | NPI | - | NPPES |
000000083727 | Other | IN | ANTHEM |
000000693537 | Other | IN | ANTHEM |
200148280 | Medicaid | IN | |
3045547 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 01046718A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Adams Memorial Hospital | Decatur, IN | Hospital |
Parkview Huntington Hospital | Huntington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Wayne Medical Oncology And Hematology Inc | 2961394440 | 26 |
Entity Name | Fort Wayne Medical Oncology And Hematology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376533158 PECOS PAC ID: 2961394440 Enrollment ID: O20040329000797 |
Mailing Address | Practice Location Address |
---|---|
Praveen Kollipara, MD 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 Ph: (260) 484-8830 | Praveen Kollipara, MD 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 Ph: (260) 484-8830 |
Dr. Dustin M Thomas, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |