Poonam Ishanpara, PSYD in Avon, IN - Medicare Clinical Psychologist Provider

Poonam Ishanpara, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Avon, Indiana. She went to Albany Medical College Of Union University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Midwest Behavioral Health Llc and her current practice location is 6845 E Us Highway 36 Ste 500, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (813) 289-6597.

Poonam Ishanpara is licensed to practice in Indiana (license number 20042843A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245629096.

Contact Information

	Poonam Ishanpara, PSYD
	6845 E Us Highway 36 Ste 500, Avon, IN 46123-9781
	(813) 289-6597
	(813) 289-6592

Map and Direction

Healthcare Provider's Profile

Full Name	Poonam Ishanpara
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	6845 E Us Highway 36 Ste 500, Avon, 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.

Medical Education and Training:

Poonam Ishanpara attended and graduated from Albany Medical College Of Union University in 2013

NPI Data:

NPI Number: 1245629096
Provider Enumeration Date: 01/16/2015
Last Update Date: 05/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8527385251
Enrollment ID: I20150318000288

Medical Identifiers

Medical identifiers for Poonam Ishanpara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245629096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	PY9504 (Florida)	Secondary
103TC0700X	Psychologist - Clinical	20042843A (Indiana)	Primary
103TA0700X	Psychologist - Adult Development & Aging	20042843A (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Behavioral Health Llc	4587834874	62

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Poonam Ishanpara allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Poonam Ishanpara is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Poonam Ishanpara, PSYD 6845 E Us Highway 36 Ste 500, Avon, IN 46123-9781 Ph: (317) 742-1340	Poonam Ishanpara, PSYD 6845 E Us Highway 36 Ste 500, Avon, IN 46123-9781 Ph: (813) 289-6597

Reviews and Comments

Psychologist in Avon, IN

Dr. Anne Katherine Conley-goldstein, PH.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807
Doris Odell Ryan, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807
Dr. Ashleigh Charlene Kappos Woods, PSYD, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 Fax: 317-272-0807
Dr. Corinne Young, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927
Dr. Elizabeth Beti Jackson, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807
Dr. Mary Wollitz Dooley, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7125 E Us Hwy 36, Avon, IN 46123 Phone: 317-272-2190 Fax: 317-272-2199

Poonam Ishanpara, PSYD - Medicare Psychologist in Avon, IN