| Deepti Bhasin Md Inc | |
|
402 Osigian Blvd Sutie 400 Warner Robins GA 31088-8988 | |
| (478) 333-3058 | |
| (478) 333-3496 |
| Full Name | Deepti Bhasin Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 402 Osigian Blvd, Warner Robins, Georgia |
| Authorized Official Name and Position | Deepti J Bhasin (PRESIDENT) |
| Authorized Official Contact | 4783333058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepti Bhasin Md Inc 402 Osigian Blvd Sutie 400 Warner Robins GA 31088-8988 Ph: (478) 333-3058 | Deepti Bhasin Md Inc 402 Osigian Blvd Sutie 400 Warner Robins GA 31088-8988 Ph: (478) 333-3058 |
| NPI Number | 1104147081 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 3375674419 |
|---|---|
| Medicare Enrollment ID | O20100706000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104147081 | NPI | - | NPPES |
| 408444500A | Medicaid | GA |
| Provider Name | Deepti J Bhasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285717942 PECOS PAC ID: 4183755226 Enrollment ID: I20100706000402 |
| Provider Name | Terrie H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109267 PECOS PAC ID: 7113170986 Enrollment ID: I20130102000316 |
| Provider Name | Audra D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740653781 PECOS PAC ID: 4587963160 Enrollment ID: I20160503001696 |
| Provider Name | Jennifer Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649645532 PECOS PAC ID: 7618255209 Enrollment ID: I20161102001896 |
| Provider Name | Shacarya Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982317764 PECOS PAC ID: 9133590532 Enrollment ID: I20230123001700 |
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