| Garrett H Bastin, DO | |
|
10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 | |
| (260) 234-5400 | |
| (260) 234-5410 |
| Full Name | Garrett H Bastin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 10101 Ernst Rd Ste 1200, Roanoke, 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 |
|---|---|---|---|
| 1548837255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11021719A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 02006843A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett H Bastin, DO 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 Ph: (260) 423-2675 | Garrett H Bastin, DO 10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 Ph: (260) 234-5400 |
Jeffrey L Witt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-235-5410 | |
Theppanya Ka Keolasy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr Ste C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939 | |
Christi Ann Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Commercial St Ste 2, Roanoke, IN 46783 Phone: 260-254-1560 Fax: 301-965-6155 | |
Dr. Amy H Welker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr, Suite C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939 | |
Stephanie S Kidd, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-235-5410 | |
Mark A King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1100, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410 |