Dr Mallikarjun Patta, MD | |
11106 Birch Lake Dr, Granger, IN 46530-6032 | |
(574) 247-0110 | |
Not Available |
Full Name | Dr Mallikarjun Patta |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 40 Years |
Location | 11106 Birch Lake Dr, Granger, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164499554 | NPI | - | NPPES |
200428170A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01057540A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Bend Psychiatry Llc | 1951440643 | 3 |
Entity Name | South Bend Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700112224 PECOS PAC ID: 1951440643 Enrollment ID: O20091210000050 |
Entity Name | Aims Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478 |
Mailing Address | Practice Location Address |
---|---|
Dr Mallikarjun Patta, MD 11106 Birch Lake Dr, Granger, IN 46530-6032 Ph: (574) 247-0110 | Dr Mallikarjun Patta, MD 11106 Birch Lake Dr, Granger, IN 46530-6032 Ph: (574) 247-0110 |
Dr. Amer M. Kazi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6915 N Fir Rd, Granger, IN 46530 Phone: 574-234-2191 Fax: 574-231-7720 | |
Dr. Jose Luis Lopez Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St Ste 100, Granger, IN 46530 Phone: 574-647-8542 Fax: 574-647-8549 | |
Nadia Bowling, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St Ste 100, Granger, IN 46530 Phone: 574-647-8542 Fax: 574-647-8549 |