Anthony D Dennis, MD - Medicare Family Medicine in Fort Wayne, IN

Anthony D Dennis, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. His current practice location is 11635 Coldwater Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 637-1661.

Anthony D Dennis is licensed to practice in Indiana (license number 01062780A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003946328.

Contact Information

Anthony D Dennis, MD
11635 Coldwater Rd,
Fort Wayne, IN 46845-1256
(260) 637-1661
(260) 637-1601



Physician's Profile

Full NameAnthony D Dennis
GenderMale
SpecialityFamily Medicine
Location11635 Coldwater Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003946328
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 12/11/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153421250
  • Enrollment ID: I20161005000769

Medical Identifiers

Medical identifiers for Anthony D Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003946328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01062780A (Indiana)Primary

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. Anthony D Dennis 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
Anthony D Dennis, MD
11635 Coldwater Rd,
Fort Wayne, IN 46845-1256

Ph: (260) 637-1661
Anthony D Dennis, MD
11635 Coldwater Rd,
Fort Wayne, IN 46845-1256

Ph: (260) 637-1661

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Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-496-6602    Fax: 260-969-3065

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