Mary C Hostetter, DPT | |
3978 New Vision Dr, Fort Wayne, IN 46845-1712 | |
(260) 373-9318 | |
(260) 373-9301 |
Full Name | Mary C Hostetter |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3978 New Vision Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225260060 | NPI | - | NPPES |
200965610A | Medicaid | IN | |
156546 | Other | IN | GROUP MEDICARE |
100257920H | Other | IN | GROUP MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009901A (Indiana) | Primary |
Provider Name | Parkview Health System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
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Mary C Hostetter, DPT 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Mary C Hostetter, DPT 3978 New Vision Dr, Fort Wayne, IN 46845-1712 Ph: (260) 373-9318 |
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 | |
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700 | |
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 |