| Hani Ahmad, MD | |
|
1720 Beacon St, Fort Wayne, IN 46805-4749 | |
| (260) 373-8000 | |
| (260) 373-8034 |
| Full Name | Hani Ahmad |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 30 Years |
| Location | 1720 Beacon St, 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 |
|---|---|---|---|
| 1790711604 | NPI | - | NPPES |
| 200825450 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME111572 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01060341A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bowen Health Inc | 7618950965 | 16 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| 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 | Bowen Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Hani Ahmad, MD 15024 Remington Pl, Fort Wayne, IN 46814-7599 Ph: (317) 437-8061 | Hani Ahmad, MD 1720 Beacon St, Fort Wayne, IN 46805-4749 Ph: (260) 373-8000 |
Michelle Elise Wiese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
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 | |
Jason A Santiago, 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 | |
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 |