<unavail> in Fort Wayne, IN - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in Fort Wayne, Indiana. Their current practice location is 3630 Illinois Rd, Fort Wayne, Indiana. You can reach out to their office (for appointments etc.) via phone at (260) 255-6494.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518583038.

Contact Information


	3630 Illinois Rd, Fort Wayne, IN 46804-2062
	(260) 255-6494
	(260) 399-2075

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	3630 Illinois Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518583038
Provider Enumeration Date: 06/20/2020
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 3971926999
Enrollment ID: O20200709002313

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518583038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Emanuel Lucian Boar
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1972165272 PECOS PAC ID: 9638501372 Enrollment ID: I20191118001673

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. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4106 Merchant Rd Rm A, Fort Wayne, IN 46818-1248 Ph: (260) 255-6494	3630 Illinois Rd, Fort Wayne, IN 46804-2062 Ph: (260) 255-6494

Reviews and Comments

Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328
Stephen Thomas Epley, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2715 West Dr, Fort Wayne, IN 46805 Phone: 530-736-1875

- Medicare Physical Therapist in Fort Wayne, IN