Eric D Reichenbach, MD
Individual provider Active NPI Family Medicine Physician · N Manchester, IN
NPI 1861471278 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1861471278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01054724A (IN)
- Practice address
- 1104 N Wayne St
N Manchester, IN 46962-1001 - Phone
- (260) 982-2102
- Fax
- (260) 982-2105
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Wabash Hospital Inc
Parkview Health System Inc
Practice addresses (Care Compare)
1104 N Wayne St
Parkview Wabash Health Clinic North Manch
North Manchester, IN 46962-1001
Phone 2609822102260569
2001 Stults Rd
Suite 200
Huntington, IN 46750-1291
Phone (260) 266-7856
Hospital & facility affiliations
- Elara Caring
- Parkview Wabash Hospital, Inc
- Parkview Regional Medical Center
- Parkview Whitley Hospital
- Parkview Huntington Hospital
- Lutheran Hospital of Indiana
- Timbercrest Church of the Brethren Home
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206000180 | IN | Practitioner - Family Practice | 9830155589 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054724A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
2001 Stults Rd
#200
Huntington, IN 46750
Phone (260) 266-7856
1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102
750 N Broadway
Peru, IN 46970
Phone (260) 569-2120
710 N East St
Wabash, IN 46992
Phone (219) 563-3131
Interoperability endpoints
- ereichenbach9241@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01054724A | IN | Yes |
Addresses
Primary practice location
1104 N Wayne St
N Manchester, IN 46962-1001
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
750 N Broadway
Peru, IN 46970-1027
Phone (260) 569-2120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200346330A | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ereichenbach9241@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Other providers in N Manchester, IN
All providers in N Manchester, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. 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.