| Reconstructive Foot & Ankle Specialists, Llc | |
|
7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 | |
| (260) 969-1950 | |
| Not Available |
| Full Name | Reconstructive Foot & Ankle Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 7910 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255496352 | NPI | - | NPPES |
| 200847960 | Medicaid | IN | |
| 200847960A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07000881A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Reconstructive Foot & Ankle Specialists, Llc P.o. Box 12754, Fort Wayne, IN 46866-2754 Ph: (260) 969-1950 | Reconstructive Foot & Ankle Specialists, Llc 7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 Ph: (260) 969-1950 |
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 |