| Dr Mark J Janicki, MD, FAAN | |
|
2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | |
| (765) 485-8830 | |
| (765) 485-8839 |
| Full Name | Dr Mark J Janicki |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 43 Years |
| Location | 2705 N Lebanon St Ste 265, Lebanon, 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 |
|---|---|---|---|
| 1588661409 | NPI | - | NPPES |
| 100068000 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01032550A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Witham Health Services | Lebanon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Witham Memorial Hospital | 4082523170 | 89 |
| Entity Name | Witham Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark J Janicki, MD, FAAN 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Dr Mark J Janicki, MD, FAAN 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 Ph: (765) 485-8830 |
Dr. Brett A Presley, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 W Main St, Lebanon, IN 46052 Phone: 317-574-1254 Fax: 317-674-0060 | |
Stephen L. Matney, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 Fax: 765-485-8719 | |
Dr. Michael C. Knox, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 155, Lebanon, IN 46052 Phone: 765-485-8750 Fax: 765-485-8758 | |
Dr. David William Pison, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 Fax: 765-485-8719 | |
Dr. Dale E Sommers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 602 Ransdell Rd, Lebanon, IN 46052 Phone: 765-482-7100 Fax: 317-674-0059 | |
Dr. Alan Joe Laclave, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 909 Claiborne Ln, Lebanon, IN 46052 Phone: 765-481-0435 |