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Kumpol Dennison in Fort Wayne, Indiana

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Kumpol Dennison has General Surgery as his primary medical specialty. Their primary office is: 3005 E State Blvd in Fort Wayne, Indiana.

They're a part of the: Cleanslate Medical Group Of Indiana Llc medical group which has around 58 members. You can call their office at 260-267-9498 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 1963 (around 61 years of experience). They are listed as doing telehealth appointments.


Kumpol Dennison Office Phone and Directions

Kumpol Dennison
Cleanslate Medical Group Of Indiana Llc
3005 E State Blvd
Fort Wayne, Indiana 46805
260-267-9498


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Phone: 260-267-9498


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Healthcare Info for Kumpol Dennison

Medical School: Sorry, his university is not listed
Graduation Year: 1963
The Primary Medical Specialty for Kumpol Dennison is listed as: General Surgery
Approximate Years of Experience: 61
PAC (PECOS ID)#: 2860706819
NPI #: 1275887770
NPI Created On: 11/05/2012
NPI Last Updated Listed as: 06/07/2016
Primary Taxonomy Code: 208D00000X
License Number:
01071776A
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Celtic Insurance Company
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: Thai, English.


Services and Procedures include:

  1. Established patient office or other outpatient visit, typically 15 minutes
  2. Established patient office or other outpatient, visit typically 25 minutes
  3. Care management services for behavioral health conditions, at least 20 minutes clinical staff time

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $500

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Third party is a Charity:: No

Record ID:: 812655979

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: GILENYA

Open Associated Drug #1: 0078-0607-51


Payments Total: $500

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Third party is a Charity:: No

Record ID:: 812655975

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: MAYZENT

Open Associated Drug #1: 0078-0979-12


Payments Total: $500

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Third party is a Charity:: No

Record ID:: 812655977

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: GILENYA

Open Associated Drug #1: 0078-0607-51


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Providers in Cleanslate Medical Group Of Indiana Llc

1.Patricia Altman

4411 Washington Ave
Evansville In 47714-0890
Cleanslate Medical Group Of Indiana Llc
Clinical Social Worker

2.Alison Arnold

101 N Harrison St
Alexandria In 46001-2017
Cleanslate Medical Group Of Indiana Llc
Nurse Practitioner

3.Alison Arnold

124 E Main St
Muncie In 47305-2839
Cleanslate Medical Group Of Indiana Llc
Nurse Practitioner

4.Song I Baek

1004 Pkwy Ave
Elkhart In 46516-9348
Cleanslate Medical Group Of Indiana Llc
Nurse Practitioner

5.Desiree Bailey

1725 N Meridian St
Indianapolis In 46202-1403
Cleanslate Medical Group Of Indiana Llc
Nurse Practitioner

6.Brenda Barker

4925 S Scatterfield Rd
Anderson In 46013-2911
Cleanslate Medical Group Of Indiana Llc
Family Practice

View all 58 members of Cleanslate Medical Group Of Indiana Llc medical group