Thomas P Van Den Driessche, MD in Fort Wayne, IN

Thomas P Van Den Driessche, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Extended Care Specialists, Inc, Eventus Wholehealth Midwest Inc and his current practice location is 3030 Lake Ave, Suite32, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 424-3134.

Thomas P Van Den Driessche is licensed to practice in Indiana (license number 01028709A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073507745.

Contact Information

	Thomas P Van Den Driessche, MD
	3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428
	(260) 424-3134
	(260) 424-3138

Map and Direction

Physician's Profile

Full Name	Thomas P Van Den Driessche
Gender	Male
Speciality	Family Practice
Experience	46 Years
Location	3030 Lake Ave, 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.

Medical Education and Training:

Thomas P Van Den Driessche attended and graduated from Indiana University School Of Medicine in 1978

NPI Data:

NPI Number: 1073507745
Provider Enumeration Date: 09/08/2005
Last Update Date: 11/14/2007

Medicare PECOS Information:

PECOS PAC ID: 3678592292
Enrollment ID: I20051114000365

Medical Identifiers

Medical identifiers for Thomas P Van Den Driessche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073507745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01028709A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heartland Home Health Care And Hospice	Fort wayne, IN	Hospice
Visiting Nurse & Hospice Home	Fort wayne, IN	Hospice
Grace Hospice	South bend, IN	Hospice
Harbor Light Hospice	Crown point, IN	Hospice
Community Hospital Of Bremen Inc	Bremen, IN	Hospital
Woodlawn Hospital	Rochester, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Belltower Health & Rehabilitation Center	Granger, IN	Nursing home
Twin City Health Care	Gas city, IN	Nursing home
Life Care Center Of Rochester	Rochester, IN	Nursing home
Life Care Center Of Fort Wayne	Fort wayne, IN	Nursing home
Miller's Merry Manor	Syracuse, IN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Extended Care Specialists, Inc	2466407713	195
Eventus Wholehealth Midwest Inc	4183040470	122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas P Van Den Driessche allows following entities to bill medicare on his behalf.

Entity Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

Entity Name	Eventus Wholehealth Midwest Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas P Van Den Driessche is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thomas P Van Den Driessche, MD 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 Ph: (260) 424-3134	Thomas P Van Den Driessche, MD 3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 Ph: (260) 424-3134

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

Thomas P Van Den Driessche, MD - Medicare Family Practice in Fort Wayne, IN