Jacquelin B Telesford (NPI# 1508891193, PAC ID# 9931209640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1508891193 |
| PAC ID by PECOS | 9931209640 |
| Professional Enrollment ID | I20071008000281 |
| Full Name | Jacquelin B Telesford |
| Organization Legal Name | EMERGENCY MEDICINE OF INDIANA LLC |
| Address |
7950 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Phone Number | 2602039600 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2961665849 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 650001 | GUAM MEMORIAL HOSPITAL AUTHORITY |
| 151318 | DUKES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2602039600 | EMERGENCY MEDICINE OF INDIANA LLC |
| Organization Legal Name | EMERGENCY MEDICINE OF INDIANA LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory L Chupp | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Whitney E Miller | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Joseph M Donley | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jacob M Capito | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| James W Graybill Iii | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Benjamin Joseph Grandy | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Daniel R Borcherdt | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Logan M Traylor | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| John R Heemstra | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Catherine M Bridgetts | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Street Address |
7950 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Peppler | Nurse Practitioner | Visiting Nurse and Hospice Home Inc | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Gregory L Chupp | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jonathan A Staser | Diagnostic Radiology | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Whitney E Miller | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Chris J Dempsher | Pathology | Associated Pathologists LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 |
| Joseph M Donley | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jacob M Capito | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Laura E Thomas | Nurse Practitioner | Visiting Nurse and Hospice Home Inc | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Milissa C Phillips-bohlender | Nurse Practitioner | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Cuthbert Simpkins | Critical Care (intensivists) | Lutheran Medical Group LLC | 7950 W Jefferson Blvd, Lutheran Hospital, Fort Wayne, IN 46804-4160 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT WAYNE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jacquelin B Telesford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.