| Dr Paul Stanley Taraska, MD | |
|
645 S Rogers St Ste A, Bloomington, IN 47403-2353 | |
| (812) 269-5092 | |
| Not Available |
| Full Name | Dr Paul Stanley Taraska |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 17 Years |
| Location | 645 S Rogers St Ste A, Bloomington, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912137290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11015002A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerstone Health Services Inc | 1850497173 | 17 |
| Valley Professionals Community Health Center Inc | 7618067265 | 68 |
| Centerstone Of Indiana Inc | 9436138427 | 76 |
| Entity Name | Echo Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912906850 PECOS PAC ID: 4981515145 Enrollment ID: O20040721001319 |
| Entity Name | Centerstone Of Indiana, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Entity Name | Aspire Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
| Entity Name | Centerstone Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518528579 PECOS PAC ID: 1850497173 Enrollment ID: O20070504000012 |
| Entity Name | Valley Professionals Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487 |
| Entity Name | Valle Vista Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699722405 PECOS PAC ID: 8224948930 Enrollment ID: O20091224000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Stanley Taraska, MD 645 S Rogers St Ste A, Bloomington, IN 47403-2353 Ph: () - | Dr Paul Stanley Taraska, MD 645 S Rogers St Ste A, Bloomington, IN 47403-2353 Ph: (812) 269-5092 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Lisa Helene Smith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 813 W 2nd St, Bloomington, IN 47403 Phone: 812-353-3470 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 |