Mr Phil Secrist, AA-S | |
11109 Parkview Plaza Dr, Fort Wayne, IN 46845 | |
(260) 425-6030 | |
(260) 425-6028 |
Full Name | Mr Phil Secrist |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 6 Years |
Location | 11109 Parkview Plaza Dr, 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 |
---|---|---|---|
1831695618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 75000036A (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 |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
---|---|
Mr Phil Secrist, AA-S 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Mr Phil Secrist, AA-S 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Ph: (260) 425-6030 |
Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 | |
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845 Phone: 260-450-2151 | |
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr Ste 117, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Brandon S Rentfrow, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
John Wesley Farver, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 |