Mr. Michael Thomas Mungovan is a Fort Wayne, Indiana based male chiropractor with 40 years of experience in General Chiropractor. He completed his graduation from National College Of Chiropractic in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Michael Thomas Mungovan as General Chiropractor is 08001044 in Indiana. Mr. Michael Thomas Mungovan is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Mr. Michael Thomas Mungovan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
40+ years
Medical School Attended:
National College Of Chiropractic
Graduation Year:
1984
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4705 Illinois Rd Ste 102, Fort Wayne, Indiana, 46804-5108
Phone:
260-447-1067
Fax:
260-447-0827
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0446142392
Enrollment ID:
I20040326000308
NPI Number:
1457448821
NPI Enumeration Date:
06 Oct, 2006
NPI Last Update On:
29 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Thomas Mungovan are as mentioned below.
License Number
Specialization
State
Status
08001044
Chiropractor
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Michael Thomas Mungovan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
226000A
Other
Indiana
MEDICARE PTAN
P00311763
Other
Indiana
RR MEDICARE
000000343299
Other
Kentucky
ANTHEM BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4705 Illinois Rd, Suite 102 Fort Wayne, Indiana
Zip:
46804-5114
Phone Number:
260-447-1067
Fax Number:
260-447-0827
Patients can reach Mr. Michael Thomas Mungovan at 4705 Illinois Rd Ste 102, Fort Wayne, Indiana or can call to book an appointment on 260-447-1067. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Dr. Kimberly A Keys, D.C. 25+ yr exp.Speciality: Chiropractor Address: 2422 Lake Ave, Park Lake Medical Building, IN Phone: 260-420-8803 Fax: 260-420-6814