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
Cleanslate Medical Group Of Indiana Llc
3005 E State Blvd
Fort Wayne, Indiana 46805
260-267-9498
Phone: 260-267-9498
Enter a starting address:
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
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: Thai, English.
Services and Procedures include:
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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