| Dr Heather Kistka, MD | |
|
500 Arcade Ave Ste 200, Elkhart, IN 46514-2485 | |
| (574) 294-8404 | |
| (574) 523-1642 |
| Full Name | Dr Heather Kistka |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 16 Years |
| Location | 500 Arcade Ave Ste 200, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144464850 | NPI | - | NPPES |
| 201365900 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 01076916A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Medical Center | Winchester, VA | Hospital |
| Page Memorial Hospital, Inc | Luray, VA | Hospital |
| Warren Memorial Hospital | Front royal, VA | Hospital |
| Hampshire Memorial Hospital | Romney, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Physician Enterprise Inc | 9931268091 | 219 |
| Entity Name | Winchester Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
| Entity Name | Valley Physician Enterprise Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather Kistka, MD 50615 Fox Trl, Granger, IN 46530-9040 Ph: (615) 400-8549 | Dr Heather Kistka, MD 500 Arcade Ave Ste 200, Elkhart, IN 46514-2485 Ph: (574) 294-8404 |
Dr. Joseph B. Schnittker, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave, Ste 200, Elkhart, IN 46514 Phone: 574-232-7227 Fax: 574-232-2064 |