Dr Despina Moise, MD | |
1015 Michigan Ave, Logansport, IN 46947-1526 | |
(574) 722-5151 | |
(574) 739-1414 |
Full Name | Dr Despina Moise |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 32 Years |
Location | 1015 Michigan Ave, Logansport, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588968556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01067082A (Indiana) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 01067082A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prattville Baptist Hospital | Prattville, AL | Hospital |
Baptist Medical Center South | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grayson And Associates Pc | 9032108253 | 59 |
Entity Name | Grayson And Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194772442 PECOS PAC ID: 9032108253 Enrollment ID: O20040511001342 |
Entity Name | Noahs Ark Child & Family Treatment Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093122533 PECOS PAC ID: 5890035299 Enrollment ID: O20190321002183 |
Mailing Address | Practice Location Address |
---|---|
Dr Despina Moise, MD 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 | Dr Despina Moise, MD 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 |
Dr. Danny J. Meadows Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Dr. Dexter L. Fields, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 | |
Dr. Robert C. Shaw Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Dr. Jill D Abram, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Shawn G Larson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Ms. Doris Elizabeth Leblanc, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 |