Morgan Faanes, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Winamac, IN
NPI 1659860096 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1659860096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 07001373A (IN)
- Practice address
- 616 E 13TH St
Winamac, IN 46996-1117 - Phone
- (574) 946-2135
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulaski Memorial Hospital
Practice addresses (Care Compare)
616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100
Hospital & facility affiliations
- Pulaski Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623001553 | IN | Practitioner - Podiatry | 8123373867 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001373A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current |
Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current |
Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Podiatrist | Past | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Past | Accepting new patients |
Locations
232 S Main St
Ste A
Culver, IN 46511
Phone (574) 335-7780
2 S Pearl St
Knox, IN 46534
Phone (574) 207-5050
414 Lane St
North Judson, IN 46366
Phone (574) 896-2257
540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5ac0007d-0893-4627-b11f-857c06d27ab1/
- https://fhir-myrecord.cerner.com/r4/781d290a-0fb7-4574-b825-dd38fe495caa/
- mfaanes1162351@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001373A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001373A | IN | Yes |
Addresses
Primary practice location
616 E 13TH St
Winamac, IN 46996-1117
Mailing address
616 E 13TH St
Winamac, IN 46996-1117
Other providers in Winamac, IN
- Dr. Dennis E. Cowley, P.C.
- Drach Chiropractic, L.L.C.
- Catherine Dywan
- Eastern Pulaski Community School Corporation
- John Russell Elsasser
- Family & Women'S Health Services
- Sherri Lee Fisher
- William S. Fox
- Tisha Fry
- Timothy D Gearhart
All providers in Winamac, IN · Foot & Ankle Surgery Podiatrist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.