| Jason T Gaisford, PA-C | |
|
1721 Magnavox Way, Fort Wayne, IN 46804-1537 | |
| (260) 748-3651 | |
| (260) 748-3651 |
| Full Name | Jason T Gaisford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1721 Magnavox Way, 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 |
|---|---|---|---|
| 1679909931 | NPI | - | NPPES |
| 300006158 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001602A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Racc Medical Associates Llc | 0648424127 | 15 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T Gaisford, PA-C Po Box 670, Huntertown, IN 46748-0670 Ph: (260) 748-3650 | Jason T Gaisford, PA-C 1721 Magnavox Way, Fort Wayne, IN 46804-1537 Ph: (260) 748-3651 |
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 |