Thomas P Van Den Driessche, MD - Medicare Family Practice in Fort Wayne, IN

Thomas P Van Den Driessche, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Eventus Wholehealth Midwest Inc, Extended Care Specialists, Inc and his current practice location is 3030 Lake Ave, Suite32, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 424-3134.

Thomas P Van Den Driessche is licensed to practice in Indiana (license number 01028709A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073507745.

Contact Information

Thomas P Van Den Driessche, MD
3030 Lake Ave, Suite32,
Fort Wayne, IN 46805-5428
(260) 424-3134
(260) 424-3138



Physician's Profile

Full NameThomas P Van Den Driessche
GenderMale
SpecialityFamily Practice
Experience46 Years
Location3030 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas P Van Den Driessche attended and graduated from Indiana University School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1073507745
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 11/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678592292
  • Enrollment ID: I20051114000365

Medical Identifiers

Medical identifiers for Thomas P Van Den Driessche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073507745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01028709A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heartland Home Health Care And HospiceFort wayne, INHospice
Visiting Nurse & Hospice HomeFort wayne, INHospice
Grace HospiceSouth bend, INHospice
Harbor Light HospiceCrown point, INHospice
Community Hospital Of Bremen IncBremen, INHospital
Woodlawn HospitalRochester, INHospital
Indiana University HealthIndianapolis, INHospital
Parkview Regional Medical CenterFort wayne, INHospital
Belltower Health & Rehabilitation CenterGranger, INNursing home
Life Care Center Of RochesterRochester, INNursing home
Life Care Center Of Fort WayneFort wayne, INNursing home
Miller's At Oak PointeColumbia city, INNursing home
Twin City Health CareGas city, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Wholehealth Midwest Inc418304047096
Extended Care Specialists, Inc2466407713183

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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. Thomas P Van Den Driessche allows following entities to bill medicare on his behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726

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Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277

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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. Thomas P Van Den Driessche 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
Thomas P Van Den Driessche, MD
3030 Lake Ave, Suite 32,
Fort Wayne, IN 46805-5428

Ph: (260) 424-3134
Thomas P Van Den Driessche, MD
3030 Lake Ave, Suite32,
Fort Wayne, IN 46805-5428

Ph: (260) 424-3134

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Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804
Phone: 260-425-5470    Fax: 260-425-5475
Anthony D Dennis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845
Phone: 260-637-1661    Fax: 260-637-1601
Dr. Charles R Pattan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 833-724-8326    Fax: 260-266-8941
Gregory L Chupp, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-469-6610    
Christina Mcguirk,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805
Phone: 260-373-4000    
Samantha Dawn Warden, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802
Phone: 260-423-2675    Fax: 260-423-6621
Dr. Mary Ann O'brien, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-496-6602    Fax: 260-969-3065

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