| Gerard Associates Inc | |
|
4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804 | |
| (260) 422-9372 | |
| (260) 422-0843 |
| Full Name | Gerard Associates Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Wayne Marshall Gerard (OWNER PRESIDENT) |
| Authorized Official Contact | 2604229372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Associates Inc 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804 Ph: (260) 422-9372 | Gerard Associates Inc 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804 Ph: (260) 422-9372 |
| NPI Number | 1255439709 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486719317 |
|---|---|
| Medicare Enrollment ID | O20090210000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255439709 | NPI | - | NPPES |
| 280469 | Other | IN | VALUE OPTIONS |
| 000000143197 | Other | IN | ANTHEM |
| 4405318 | Other | IN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34001586A (Indiana) | Primary |
| Provider Name | Wayne M Gerard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760411532 PECOS PAC ID: 6608881594 Enrollment ID: I20060214000464 |
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