Jyostna Deepika Pulla, MD | |
11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | |
(260) 266-2020 | |
(260) 266-2009 |
Full Name | Jyostna Deepika Pulla |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 11109 Parkview Plaza Dr, Fort Wayne, 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 |
---|---|---|---|
1114274586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301100546 (Michigan) | Primary |
208000000X | Pediatrics | 4301100546 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center-northeast | Concord, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinas Physicians Network Inc | 3375449655 | 1649 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
Entity Name | The Charlotte-mecklenburg Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
Mailing Address | Practice Location Address |
---|---|
Jyostna Deepika Pulla, MD 1313 Winding Ridge Dr Apt 2b, Grand Blanc, MI 48439-7553 Ph: (484) 343-8071 | Jyostna Deepika Pulla, MD 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 266-2020 |
Dr. Dustin M Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |