Indiana Advanced Psychiatry | |
7230 Engle Rd Ste 102 Fort Wayne IN 46804-2234 | |
(260) 888-1378 | |
Not Available |
Full Name | Indiana Advanced Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 7230 Engle Rd Ste 102, Fort Wayne, Indiana |
Authorized Official Name and Position | Andrew Schmale (PSYCHIATRIST/OWNER) |
Authorized Official Contact | 2489815975 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indiana Advanced Psychiatry 1700 W Big Beaver Rd Ste 300 Troy MI 48084-3514 Ph: () - | Indiana Advanced Psychiatry 7230 Engle Rd Ste 102 Fort Wayne IN 46804-2234 Ph: (260) 888-1378 |
NPI Number | 1861253742 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 06/04/2024 |
Certification Date | 06/04/2024 |
Medicare PECOS PAC ID | 6002254745 |
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Medicare Enrollment ID | O20240401002315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861253742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Rene Phillippe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821578931 PECOS PAC ID: 1951655364 Enrollment ID: I20181120002732 |
Provider Name | Andrew Schmale |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235585829 PECOS PAC ID: 8224329016 Enrollment ID: I20240308001264 |
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