Individual ProviderVictoria FoxNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5110 N Clinton St, Fort Wayne, IN 46825-5720(260) 469-6605PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Fox 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 3 days ago.Profile DetailsProvider ID1306372560Provider TypeIndividualFull NameFox, VictoriaGenderFemaleSole ProprietorNoEnumeration Date5/10/2017Last Updated10/10/2022Contact InformationPractice LocationPractice Address5110 N Clinton St, Fort Wayne, IN 46825-5720Phone(260) 469-6605Fax(260) 969-3066Mailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71007118AIndianaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense28190403AIndiana