Dr Michael Dillard Stark, MD | |
2400 17th St, Columbus, IN 47201-5351 | |
(812) 376-5016 | |
(812) 376-5928 |
Full Name | Dr Michael Dillard Stark |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 17 Years |
Location | 2400 17th St, Columbus, 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 |
---|---|---|---|
1316101710 | NPI | - | NPPES |
200955430 | Medicaid | IN | |
000000983427 | Other | IN | ANTHEM PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 11013994A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Regional Hospital | Columbus, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Regional Health Physicians Llc | 1052612314 | 196 |
Entity Name | Columbus Regional Health Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Dillard Stark, MD Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315 | Dr Michael Dillard Stark, MD 2400 17th St, Columbus, IN 47201-5351 Ph: (812) 376-5016 |
Xabier Beristain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
Kenneth F Conway, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3500 Fax: 812-378-8367 | |
Polly Lybrook, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400 Fax: 812-378-8367 | |
Ms. Jyothi P Varanasi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
John P Winikates, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 | |
Donald E Harris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 25th St Ste F, Columbus, IN 47201 Phone: 812-376-3100 Fax: 812-378-6191 |