Adeline Mae Deladisma, MD - Medicare General Surgery in Fort Wayne, IN

Adeline Mae Deladisma, MD is a medicare enrolled "Surgery" physician in Fort Wayne, Indiana. She went to Pennsylvania State University College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 484-9611.

Adeline Mae Deladisma is licensed to practice in Indiana (license number 01071770A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194845388.

Contact Information

Adeline Mae Deladisma, MD
11141 Parkview Plaza Dr, Suite 305,
Fort Wayne, IN 46845-1713
(260) 484-9611
(260) 484-1004



Physician's Profile

Full NameAdeline Mae Deladisma
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location11141 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adeline Mae Deladisma attended and graduated from Pennsylvania State University College Of Medicine in 2004
  NPI Data:
  • NPI Number: 1194845388
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 10/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0345410015
  • Enrollment ID: I20200803003347

Medical Identifiers

Medical identifiers for Adeline Mae Deladisma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194845388NPI-NPPES
97509402OtherMDBCBS
97509403OtherMDBCBS
97509401OtherMDBCBS
V8080011OtherDCBCBS
V8380011OtherDCBCBS
V8740011OtherDCBCBS
045199100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 00498 (Georgia)Secondary
208600000XSurgery D72711 (Maryland)Secondary
208600000XSurgery 01071770A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shands JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Florida Jacksonville Physicians, Inc.9133025869644

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adeline Mae Deladisma allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786

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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. Adeline Mae Deladisma 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 AddressPractice Location Address
Adeline Mae Deladisma, MD
11141 Parkview Plaza Dr, Suite 305,
Fort Wayne, IN 46845-1713

Ph: (260) 484-9611
Adeline Mae Deladisma, MD
11141 Parkview Plaza Dr, Suite 305,
Fort Wayne, IN 46845-1713

Ph: (260) 484-9611

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Surgery Doctors in Fort Wayne, IN

Dr. Ian H. Cook, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805
Phone: 260-426-5431    
Brett J. Guinn, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2510 E Dupont Rd Ste 210, Fort Wayne, IN 46825
Phone: 260-458-3710    Fax: 260-458-3714
Dr. Paul Mitchell Bauer, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-435-7001    
Lindsay B Hardley, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 833-724-8326    Fax: 260-425-6845
Dr. Keith David Clancy, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804
Phone: 260-458-3610    Fax: 260-458-3611
Dr. Charles Michael Morgan, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-432-2297    Fax: 260-434-6481
Jeffery A Yoder, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845
Phone: 260-484-9611    Fax: 260-484-1004

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