Dr Michael Harold Conn, MD | |
505 Wabash Ave, Marion, IN 46952 | |
(619) 403-2215 | |
Not Available |
Full Name | Dr Michael Harold Conn |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 505 Wabash Ave, Marion, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932158193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01056092A (Indiana) | Primary |
Entity Name | Indiana Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Entity Name | Grant-blackford Mental Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407848500 PECOS PAC ID: 9739177528 Enrollment ID: O20040607001089 |
Mailing Address | Practice Location Address |
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Dr Michael Harold Conn, MD 505 N Wabash Ave, Marion, IN 46952-2608 Ph: (619) 403-3315 | Dr Michael Harold Conn, MD 505 Wabash Ave, Marion, IN 46952 Ph: (619) 403-2215 |
Dr. Michel Calache, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1028 N Wabash Ave, Marion, IN 46952 Phone: 765-664-1578 | |
Escolastico Ausejo Deloria Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-6965 | |
Mr. Gregory V. Richardson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 505 N. Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6718 | |
Patricia L Harralson, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 | |
Dr. Avelina Te Vitug, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 | |
Elizabeth Anne Martin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5115 |