MEDICARE: MICHELLE L SAYLOR PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10001967A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000973369	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1457722415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE L SAYLOR PAC

Provider Business Mailing Address
First Line	:	608 UNION CHAPEL RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9357
Country	:	US
Telephone Number	:	260-482-4440
Fax Number	:	260-482-4442

Provider Business Practice Location Address
First Line	:	11109 PARKVIEW PLAZA DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:	260-373-4000
Fax Number	:	260-482-4442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	05/12/2026

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Directions to “ MICHELLE L SAYLOR PAC” Practice Location

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