| Geeta Bisht, Md | |
|
2410 N Glendale Dr Ste A Fort Wayne IN 46804-8909 | |
| (260) 432-5181 | |
| (260) 432-5692 |
| Full Name | Geeta Bisht, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2410 N Glendale Dr Ste A, Fort Wayne, Indiana |
| Authorized Official Name and Position | Neal K Bisht (CAO) |
| Authorized Official Contact | 2604325181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geeta Bisht, Md 2410 N Glendale Dr Ste A Fort Wayne IN 46804-8909 Ph: (260) 432-5181 | Geeta Bisht, Md 2410 N Glendale Dr Ste A Fort Wayne IN 46804-8909 Ph: (260) 432-5181 |
| NPI Number | 1316940851 |
|---|---|
| Provider Enumeration Date | 05/28/2005 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 9931166832 |
|---|---|
| Medicare Enrollment ID | O20041213000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316940851 | NPI | - | NPPES |
| 136248000 | Other | MAGELLAN GROUP NUMBER | |
| 200264390 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 50003238A (Indiana) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | James H Cheviron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588806103 PECOS PAC ID: 9830156579 Enrollment ID: I20041215000070 |
| Provider Name | Nikki Joy Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336278753 PECOS PAC ID: 3375649254 Enrollment ID: I20070509000748 |
| Provider Name | Lorraine Mejer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588667026 PECOS PAC ID: 2961553995 Enrollment ID: I20090702000004 |
| Provider Name | Geeta B Bisht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134122674 PECOS PAC ID: 1951434737 Enrollment ID: I20100730000161 |
| Provider Name | Hyun Ok Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427364520 PECOS PAC ID: 0345433744 Enrollment ID: I20101018001121 |
| Provider Name | Revathi B Bingi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467406538 PECOS PAC ID: 2062405418 Enrollment ID: I20110302000583 |
| Provider Name | Joseph Scott Novotney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952626269 PECOS PAC ID: 4789032756 Enrollment ID: I20231201000177 |
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