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Paige Marie Lombard

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7222 Engle Road, Fort Wayne, IN 46804-2222

PECOS Enrollment

This provider is enrolled in PECOS as PAIGE LOMBARD.

Based on the most recent information from CMS, provider Paige Marie Lombard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1770005829
Provider Type
Individual
Full Name
Lombard, Paige Marie
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/11/2017
Last Updated
7/21/2022

Contact Information

Practice Location

7222 Engle Road, Fort Wayne, IN 46804-2222

(260) 432-5005

(260) 432-6003

Mailing Location

7222 Engle Rd, Fort Wayne, IN 46804-2222

(260) 432-5005

(260) 432-6003

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71007244A Indiana

Provider Identifiers

ID	Description	Issuer
ID 71007244A	Description Other	Issuer STATE LICENSE Indiana

Paige Marie Lombard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Maloney, Susan M.

Heath, Melanie J.

Gorrell, Cynthia K

Ritchie, Jennifer Lynn

Walker, Allissa Marie

Hermes, Tina J

Colclesser, Felicia Anne

Wiley, Brenda S.

Stanley, Lisa R.

Twomey, Helen Burns