| Dr Michael Dillard Stark, MD | |
|
2400 17th St, Columbus, IN 47201-5351 | |
| (812) 376-5016 | |
| (812) 376-5928 |
| Full Name | Dr Michael Dillard Stark |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 19 Years |
| Location | 2400 17th St, Columbus, 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 |
|---|---|---|---|
| 1316101710 | NPI | - | NPPES |
| 200955430 | Medicaid | IN | |
| 000000983427 | Other | IN | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11013994A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbus Regional Hospital | Columbus, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Regional Health Physicians Llc | 1052612314 | 217 |
| Entity Name | Columbus Regional Health Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
| Entity Name | Gemini Recovery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255149324 PECOS PAC ID: 5799209508 Enrollment ID: O20250414000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Dillard Stark, MD Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315 | Dr Michael Dillard Stark, MD 2400 17th St, Columbus, IN 47201-5351 Ph: (812) 376-5016 |
Xabier Beristain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
Ms. Jyothi P Varanasi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
John P Winikates, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
Donald E Harris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 Fax: 812-378-6191 | |
Dr. Archana Barry, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3500 | |
Debra A Marshino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3500 Fax: 812-378-8367 |