Individual ProviderLaura DirigNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2518 E Dupont Rd, Fort Wayne, IN 46825-1675(260) 432-4400PECOS EnrollmentBased on the most recent information from CMS, provider Laura Dirig is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:02 AM.Profile DetailsProvider ID1063931137Provider TypeIndividualFull NameDirig, LauraCredentialNPGenderFemaleSole ProprietorNoEnumeration Date9/11/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2518 E Dupont Rd, Fort Wayne, IN 46825-1675Phone(260) 432-4400FaxUnlisted FaxMailing LocationMailing Address2518 E Dupont Rd, Fort Wayne, IN 46825-1675Phone(260) 432-4400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71007473AIndianaProvider IdentifiersIDDescriptionIssuerID28132412ADescriptionOtherIssuerRN LICENSEIndiana