Dr Paul Stanley Taraska, MD | |
645 S Rogers St Ste A, Bloomington, IN 47403-2353 | |
(812) 269-5092 | |
Not Available |
Full Name | Dr Paul Stanley Taraska |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 15 Years |
Location | 645 S Rogers St Ste A, Bloomington, 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 |
---|---|---|---|
1912137290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 11015002A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerstone Health Services Inc | 1850497173 | 18 |
Echo Community Health Care Inc | 4981515145 | 18 |
Valley Professionals Community Health Center Inc | 7618067265 | 60 |
Centerstone Of Indiana, Inc. | 9436138427 | 71 |
Entity Name | Echo Community Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912906850 PECOS PAC ID: 4981515145 Enrollment ID: O20040721001319 |
Entity Name | Centerstone Of Indiana, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Entity Name | Aspire Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
Entity Name | Centerstone Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518528579 PECOS PAC ID: 1850497173 Enrollment ID: O20070504000012 |
Entity Name | Valley Professionals Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487 |
Entity Name | Valle Vista Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699722405 PECOS PAC ID: 8224948930 Enrollment ID: O20091224000024 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Stanley Taraska, MD 645 S Rogers St Ste A, Bloomington, IN 47403-2353 Ph: () - | Dr Paul Stanley Taraska, MD 645 S Rogers St Ste A, Bloomington, IN 47403-2353 Ph: (812) 269-5092 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 | |
Joel Harold Griffith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 |