Alliance Health Centers, Inc. - Medicare Primary Care in Fort Wayne, IN

Alliance Health Centers, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Wayne, Indiana. The current practice location for Alliance Health Centers, Inc. is 2700 Lafayette St, Fort Wayne, Indiana. For appointments, you can reach them via phone at (812) 230-5150. The mailing address for Alliance Health Centers, Inc. is 2700 Lafayette St, Fort Wayne, Indiana and phone number is (260) 266-0780.

Alliance Health Centers, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316556848. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 230-5150.

Contact Information

Alliance Health Centers, Inc.
2700 Lafayette St
Fort Wayne
IN 46806-1100
(812) 230-5150
Not Available

Primary Care Clinic Profile

Full NameAlliance Health Centers, Inc.
SpecialityClinic/Center
Location2700 Lafayette St, Fort Wayne, Indiana
Authorized Official Name and PositionBrooke Lockhart (CEO)
Authorized Official Contact2602660780
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alliance Health Centers, Inc.
2700 Lafayette St
Fort Wayne
IN 46806-1100

Ph: (260) 266-0780
Alliance Health Centers, Inc.
2700 Lafayette St
Fort Wayne
IN 46806-1100

Ph: (812) 230-5150

NPI Details:

NPI Number1316556848
Provider Enumeration Date07/30/2020
Last Update Date12/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8022437318
Medicare Enrollment IDO20201006002848

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Medical Identifiers

Medical identifiers for Alliance Health Centers, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316556848NPI-NPPES
300043694MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Alliance Health Centers, Inc. acts as a billing entity for following providers:
Provider NameJohn E Marx
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720491731
PECOS PAC ID: 2365669710
Enrollment ID: I20160728001914

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Provider NameSherri Sue Albertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609437425
PECOS PAC ID: 9234464892
Enrollment ID: I20190718002060

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Provider NameEric Shoemaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851749147
PECOS PAC ID: 7719278506
Enrollment ID: I20190722002937

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Provider NameKirby Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528553815
PECOS PAC ID: 7012343684
Enrollment ID: I20200130002715

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Provider NameAiwen Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225561798
PECOS PAC ID: 1557787959
Enrollment ID: I20200817000921

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Provider NameAmber M. Hiss
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063977833
PECOS PAC ID: 2860801990
Enrollment ID: I20210503000311

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Provider NameLara Maria Lahr
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1942843701
PECOS PAC ID: 1456696616
Enrollment ID: I20230515000586

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Provider NameAmy Rae Reeser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962188656
PECOS PAC ID: 8426418971
Enrollment ID: I20230717001017

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Provider NameMark Alan Boxell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326817560
PECOS PAC ID: 1759727316
Enrollment ID: I20240306002017

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Clinic/Center in Fort Wayne, IN

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Medicare: Not Enrolled in Medicare
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Phone: 260-602-9574    
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Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825
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Anthony Medical Associates P C
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Medicare: Medicare Enrolled
Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805
Phone: 260-447-8982    Fax: 260-447-4483
Brooklyn Medical Associates Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809
Phone: 260-747-6171    Fax: 260-478-5125
Community Open Mri Of Auburn Llc
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Medicare: Medicare Enrolled
Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805
Phone: 260-422-1491    Fax: 260-423-1421
Ashraf H. Hanna, M.d., P.c.
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Medicare: Not Enrolled in Medicare
Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815
Phone: 260-422-1906    Fax: 260-422-1925
Act 3 Care Llc
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Medicare: Medicare Enrolled
Practice Location: 7309 Trier Rd, Fort Wayne, IN 46815
Phone: 260-515-3275    

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