| Mr Carl T Ratliff, DO | |
|
1720 Beacon St, Fort Wayne, IN 46805-4749 | |
| (260) 373-8000 | |
| (260) 373-8034 |
| Full Name | Mr Carl T Ratliff |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1720 Beacon St, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740470210 | NPI | - | NPPES |
| 201246540 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 02004483A (Indiana) | Primary |
| Entity Name | Southwestern Behavioral Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451 |
| Entity Name | Community Howard Regional Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881947133 PECOS PAC ID: 5890769988 Enrollment ID: O20040824000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carl T Ratliff, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Mr Carl T Ratliff, DO 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 |