Robert D Roether, MD | |
7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | |
(260) 458-3555 | |
(260) 458-3530 |
Full Name | Robert D Roether |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 7910 W Jefferson Blvd Ste 102, 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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1801278841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01087364A (Indiana) | Primary |
Entity Name | Lutheran Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
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Robert D Roether, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Robert D Roether, MD 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 Ph: (260) 458-3555 |
David P Lloyd, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Hannah Copeland, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530 | |
Bruce A. Hook, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804 Phone: 260-436-2424 Fax: 260-436-2922 | |
David T Sowden, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Alan C Peterson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420 | |
Joseph A Greenlee Iii, M. D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Marcus A Jimenez, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2510 N Glendale Drive, Suite C, Fort Wayne, IN 46804 Phone: 260-432-7654 Fax: 260-432-7709 |