| David Alan Daugherty, PA-C | |
|
7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | |
| (260) 436-8686 | |
| (260) 436-8585 |
| Full Name | David Alan Daugherty |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 7601 W Jefferson Blvd, 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 |
|---|---|---|---|
| 1689648214 | NPI | - | NPPES |
| 000000626650 | Other | IN | ANTHEM |
| 1084497 | Other | OH | NCCPA |
| P00877355 | Other | RAILROAD MEDICARE | |
| OPR | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 50-002861 (Ohio) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 10001118A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Wayne Orthopaedics, Llc | 7618965286 | 55 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alan Daugherty, PA-C Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (260) 436-8686 | David Alan Daugherty, PA-C 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686 |
Macy Marie Bradbury, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
Miss Jacqueline Langer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530 | |
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
Mrs. Brianna J Abbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 Phone: 260-266-5260 Fax: 260-266-5913 | |
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 | |
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442 |