| Marina Bota, MD | |
|
645 S Rogers St, Bloomington, IN 47403-2353 | |
| (812) 339-1691 | |
| Not Available |
| Full Name | Marina Bota |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 38 Years |
| Location | 645 S Rogers St, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164430831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01049776A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Oaks Health Inc | 7315927563 | 43 |
| Entity Name | Valley Oaks Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Bota, MD 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Marina Bota, MD 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 |
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 | |
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 |