Individual ProviderSteven L PriceInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address11109 Parkview Plaza Dr, Psp Hospitalist, Fort Wayne, IN 46845-1701(260) 266-2020(260) 373-9700PECOS EnrollmentBased on the most recent information from CMS, provider Steven L Price does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1720001514Provider TypeIndividualFull NamePrice, Steven LCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/25/2006Last Updated3/23/2013Contact InformationPractice LocationPractice Address11109 Parkview Plaza Dr, Psp Hospitalist, Fort Wayne, IN 46845-1701Phone(260) 266-2020Fax(260) 266-2009Mailing LocationMailing Address1234 E. Dupont Rd., Ste 1, Fort Wayne, IN 46825-1545Phone(260) 373-9700Fax(260) 373-9740Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense010489511IndianaCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense01048951IndianaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense01048951AIndianaProvider IdentifiersIDDescriptionIssuerID200266420DescriptionMedicaidIssuerUnlistedIndianaIDP00916071DescriptionOtherIssuerR.R MEDICAREIndianaID000000691733DescriptionOtherIssuerANTHEMIndianaID2581728DescriptionMedicaidIssuerUnlistedOhio