Zachry Lane Waterson, DO | |
750 Broadway, Suite 350, Fort Wayne, IN 46802-1411 | |
(260) 423-2682 | |
(260) 422-4326 |
Full Name | Zachry Lane Waterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 750 Broadway, 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 |
---|---|---|---|
1902842677 | NPI | - | NPPES |
000000222712 | Other | BLUE CROSS | |
200231240 | Medicaid | IN | |
000000015336 | Other | MPLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0200245A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Wayne Medical Education Program | 2860387933 | 16 |
Entity Name | Fort Wayne Medical Education Program |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184635153 PECOS PAC ID: 2860387933 Enrollment ID: O20040218000034 |
Mailing Address | Practice Location Address |
---|---|
Zachry Lane Waterson, DO 750 Broadway, Suite 150, Fort Wayne, IN 46802-1411 Ph: (260) 423-2682 | Zachry Lane Waterson, DO 750 Broadway, Suite 350, Fort Wayne, IN 46802-1411 Ph: (260) 423-2682 |
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 |