| Dr Mallikarjun Patta, MD | |
|
12750 Saint Francis Dr, Crown Point, IN 46307-0264 | |
| (219) 852-1524 | |
| (219) 933-2288 |
| Full Name | Dr Mallikarjun Patta |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 42 Years |
| Location | 12750 Saint Francis Dr, Crown Point, 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 | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| 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 Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Mallikarjun Patta, MD 12750 Saint Francis Dr, Crown Point, IN 46307-0264 Ph: (219) 852-1524 |
Roberto P Segura, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50 W 94th Pl, Crown Point, IN 46307 Phone: 219-663-2273 | |
Cheng Du, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Ashish Jain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301 | |
Olaniyi Oladotun Osuntokun, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Lynnea Carder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Dr. Aisha Hasan Shareef, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5521 W Lincoln Hwy Ste 100, Crown Point, IN 46307 Phone: 219-750-9665 Fax: 219-750-9672 |