Shaoxuan Guo, is a
Hospitalist based in Fort Wayne, Indiana. Shaoxuan Guo is licensed to practice in Indiana (license number 1) and his current practice location is
11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 266-2770.
NPI number for Shaoxuan Guo is 1346064136 and his current mailing address is 11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346064136.
Provider's Profile
| Full Name | Shaoxuan Guo |
|---|
| Gender | Male |
|---|
| Speciality | Hospitalist |
|---|
| Location | 11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346064136
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Shaoxuan Guo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346064136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Indiana) | Secondary |
| 208M00000X | Hospitalist | 1 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaoxuan Guo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shaoxuan Guo,
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Shaoxuan Guo,
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: (260) 266-2770 |
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