Mrs Wing Sue Maria Reilly, - Medicare Podiatrist in Fort Wayne, IN

Mrs Wing Sue Maria Reilly, is a medicare enrolled "Podiatrist - Foot Surgery" provider in Fort Wayne, Indiana. Her current practice location is 2121 Lake Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 426-5431.

Mrs Wing Sue Maria Reilly is licensed to practice in Illinois (license number 016-003648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770682163.

Contact Information

Mrs Wing Sue Maria Reilly,
2121 Lake Ave,
Fort Wayne, IN 46805-5100
(260) 426-5431
Not Available



Healthcare Provider's Profile

Full NameMrs Wing Sue Maria Reilly
GenderFemale
SpecialityPodiatrist - Foot Surgery
Location2121 Lake Ave, 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: 1770682163
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830373539
  • Enrollment ID: I20110404000877

Medical Identifiers

Medical identifiers for Mrs Wing Sue Maria Reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770682163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery 016-003648 (Illinois)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. Mrs Wing Sue Maria Reilly 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
Mrs Wing Sue Maria Reilly,
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431
Mrs Wing Sue Maria Reilly,
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431

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Podiatrist in Fort Wayne, IN

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Dr. Jonathan Detommaso, DPM
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Dr. David K Wysong, DPM
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