Lincoln Pedic Clinic, Inc. | |
12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 | |
(260) 637-8414 | |
(260) 637-8152 |
Full Name | Lincoln Pedic Clinic, Inc. |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 12311 Autumn Breeze Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760486393 | NPI | - | NPPES |
000000235683 | Other | IN | ANTHEM BLUE CROSS |
100210380A | Medicaid | IN | |
C31367 | Other | IN | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 07000776A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lincoln Pedic Clinic, Inc. 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 Ph: (260) 637-8414 | Lincoln Pedic Clinic, Inc. 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 Ph: (260) 637-8414 |
Lafayette Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St Ste 230, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238 | |
Lafayette Foot & Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806 Phone: 260-458-9953 Fax: 260-458-9238 | |
Gage Manning Caudell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. Dominick Detommaso, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. Jonathan Detommaso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Waynedale Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bluffton Rd, Fort Wayne, IN 46809 Phone: 260-747-5572 Fax: 260-747-8392 | |
Dr. David K Wysong, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 3012 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-6830 Fax: 260-471-6704 |