| Dr Geoffrey Talis, MD | |
|
890 Mountain Ave, New Providence, NJ 07974-1218 | |
| (908) 277-8900 | |
| Not Available |
| Full Name | Dr Geoffrey Talis |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 7 Years |
| Location | 890 Mountain Ave, New Providence, New Jersey |
| 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 |
|---|---|---|---|
| 1073019444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA11468200 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Pa | 5395642276 | 1147 |
| Entity Name | Summit Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Geoffrey Talis, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: () - | Dr Geoffrey Talis, MD 890 Mountain Ave, New Providence, NJ 07974-1218 Ph: (908) 277-8900 |
Dr. Andrea Jeanne Walter, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8900 Fax: 908-508-8919 | |
Paula Marie Pesci Rodriguez, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 139 South St, Suite 201, New Providence, NJ 07974 Phone: 973-615-9217 Fax: 973-292-3293 |