T-med Services, Inc | |
2510 E Dupont Rd Suite 201 Fort Wayne IN 46825-1601 | |
(260) 267-6383 | |
(888) 342-1601 |
Full Name | T-med Services, Inc |
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Speciality | Psychiatry & Neurology |
Location | 2510 E Dupont Rd, Fort Wayne, Indiana |
Authorized Official Name and Position | John Orvil Collins (PRESIDENT) |
Authorized Official Contact | 2602676142 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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T-med Services, Inc 6435 W Jefferson Blvd #241 Fort Wayne IN 46804-6203 Ph: (260) 267-6142 | T-med Services, Inc 2510 E Dupont Rd Suite 201 Fort Wayne IN 46825-1601 Ph: (260) 267-6383 |
NPI Number | 1396080156 |
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Provider Enumeration Date | 12/05/2012 |
Last Update Date | 10/21/2019 |
Medicare PECOS PAC ID | 7012141864 |
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Medicare Enrollment ID | O20131009001712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396080156 | NPI | - | NPPES |
Provider Name | John Collins |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1003830399 PECOS PAC ID: 4789640681 Enrollment ID: I20120210000251 |
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