Individual
REBECCA I. CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346262
ANTHEM
IN
01
—
000000570552
ANTHEM
IN
01
—
15709
PHYSICIANS HEALTH PLAN
IN
05
—
200499120
—
IN
01
—
3937240008
MEDICARE DMEPOS
IN
01
—
4282045
AETNA
—
01
—
P00187398
RAILROAD MEDICARE
IN
Enumeration date
12/07/2005
Last updated
05/05/2023
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