| Dr Jonathan Taylor Grossman, DO | |
|
11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | |
| (260) 425-6780 | |
| (260) 425-6615 |
| Full Name | Dr Jonathan Taylor Grossman |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 8 Years |
| Location | 11104 Parkview Circle Dr Ste 110, Fort Wayne, 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 |
|---|---|---|---|
| 1093210114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 02008130A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | DO2026-0116 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Home Quality Care | Chesterton, IN | Home health agency |
| Northwest Health- Porter | Valparaiso, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Northwest Health- Starke | Knox, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Health System Inc | 2163336967 | 1350 |
| Rci (wrs) Llc | 5092624510 | 325 |
| Porter Physician Services Llc | 1850482407 | 96 |
| Chesterton Physical Therapy Inc | 3173683984 | 191 |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Porter Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Taylor Grossman, DO 2 W Delaware Pl Unit 2807, Chicago, IL 60610-3416 Ph: (954) 673-5651 | Dr Jonathan Taylor Grossman, DO 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 Ph: (260) 425-6780 |
Mrs. Eunice Wanjiku Hahn, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-206-7830 |
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425 |
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034 |
Dr. Marlene Clare Bultemeyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 |
Larry H. Lambertson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 |
Dr. Geeta B Bisht, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804 Phone: 260-432-5181 Fax: 260-432-5692 |
Don A Marshall Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805 Phone: 260-471-0632 Fax: 260-471-3451 |