| Sridhar Jatla, MD | |
|
2330 S Dixon Rd Ste 325, Kokomo, IN 46902-6430 | |
| (765) 455-8822 | |
| (765) 865-3935 |
| Full Name | Sridhar Jatla |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 23 Years |
| Location | 2330 S Dixon Rd Ste 325, Kokomo, 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 |
|---|---|---|---|
| 1891704565 | NPI | - | NPPES |
| 200903530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01063214A (Indiana) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 01063214A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schneck Medical Center | Seymour, IN | Hospital |
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Marion General Hospital | Marion, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Josephson-wallack-munshower Neurology Pc | 6709868870 | 60 |
| Jackson County Schneck Memorial Hospital | 8224004585 | 119 |
| Entity Name | Josephson-wallack-munshower Neurology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740377803 PECOS PAC ID: 6709868870 Enrollment ID: O20040602001359 |
| Entity Name | Jackson County Schneck Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629143037 PECOS PAC ID: 8224004585 Enrollment ID: O20041029000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Sridhar Jatla, MD 6983 Hillsdale Ct, Indianapolis, IN 46250-2054 Ph: (317) 849-8350 | Sridhar Jatla, MD 2330 S Dixon Rd Ste 325, Kokomo, IN 46902-6430 Ph: (765) 455-8822 |
Dr. John Charles Stewart, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 Fax: 765-456-5815 | |
Mohan Prabu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2354 W Boulevard, Kokomo, IN 46902 Phone: 765-457-4800 | |
Dr. John Francis Schiltz, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 322 N Main St, Kokomo, IN 46901 Phone: 765-453-8555 | |
Anuradha Thumuluri, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 322 N Main St, Kokomo, IN 46901 Phone: 765-453-8555 | |
Donald Lee Roegner Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 702 West Alto Road, Kokomo, IN 46902 Phone: 765-453-7422 Fax: 765-453-3773 | |
Deborah Kercheval, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 322 N Main St, Kokomo, IN 46901 Phone: 765-453-8238 | |
Charles Evans, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 |