7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133 US PECOS Enrolled
Gage Manning Caudell
Podiatrist (Foot & Ankle Surgery)
- FORT WAYNE, IN
- Phone: (260)-436-8686
- Last Updated 11/7/2016
Overview
Gage Manning Caudell is a Podiatrist (Foot & Ankle Surgery) in the FORT WAYNE area and has over 21 years of experience. Gage Manning Caudell primary office location is at 7601 W JEFFERSON BLVD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2005
Gage Manning Caudell is affiliated with four hospitals in the FORT WAYNE area, including DUPONT HOSPITAL LLC. The NPI number is 1013188291 and the information was updated approximately 10 years ago.
Gage Manning Caudell is affiliated with one medical group in the FORT WAYNE area, FORT WAYNE ORTHOPAEDICS, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 07001098A | IN |
| 36003452 | OH |
| Type/Issuer | Identifier | State |
|---|---|---|
| ANTHEM | 000000646353 | - |
| MEDICAID | 200993700 | IN |
| RAILROAD | P00818539 | - |
| Taxonomy | State | Primary? |
|---|---|---|
| Podiatrist (Foot & Ankle Surgery) - Taxonomy Code 213ES0103X | IN | Y |
| Podiatrist (Foot & Ankle Surgery) - Taxonomy Code 213ES0103X | OH | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100419000272 |
| PECOS Individual PAC ID: | 9931271558 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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