Act 3 Care LLC
NPI 1023432192ActiveOrganization· Family Medicine, Geriatric Medicine· Fort Wayne, IN
Family Medicine, Geriatric Medicine in Fort Wayne, Indiana, registered in NPPES in February 2014. The authorized official on file is Shannon Pace, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023432192 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2014 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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