Theodore Stephen Sauer Jr, MD | |
300 W Ohio St, Kendallville, IN 46755-2018 | |
(260) 212-1906 | |
(260) 279-5737 |
Full Name | Theodore Stephen Sauer Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 300 W Ohio St, Kendallville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881674703 | NPI | - | NPPES |
200529220 | Medicaid | IN | |
000000375796 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301084790 (Michigan) | Secondary |
207Q00000X | Family Medicine | 01059997A (Indiana) | Primary |
Entity Name | Glutality Provider Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20201015001972 |
Mailing Address | Practice Location Address |
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Theodore Stephen Sauer Jr, MD 2622 Lake Ave, Fort Wayne, IN 46805-5410 Ph: (260) 425-3100 | Theodore Stephen Sauer Jr, MD 300 W Ohio St, Kendallville, IN 46755-2018 Ph: (260) 212-1906 |
Dr. Robert Francis Todaro, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 N Sawyer Rd, Parkview Noble Hospital, Kendallville, IN 46755 Phone: 260-347-8700 | |
David C. Willyard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Professional Way, Kendallville, IN 46755 Phone: 260-347-8556 Fax: 260-347-8557 | |
Elizabeth A Schowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-349-9175 | |
Christopher P. Frazier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-349-9175 | |
Ron L. Sloan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-349-9175 | |
Dr. Gary P Brazel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Professional Way, Kendallville, IN 46755 Phone: 260-347-8556 Fax: 260-347-8557 | |
Rex A. Flenar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Lake Terrace Dr, Kendallville, IN 46755 Phone: 260-349-9240 Fax: 260-349-9244 |