| Indiana Advanced Psychiatry | |
|
7230 Engle Rd Ste 102 Fort Wayne IN 46804-2234 | |
| (260) 888-1378 | |
| Not Available |
| Full Name | Indiana Advanced Psychiatry |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 6002254745 |
|---|---|
| Medicare Enrollment ID | O20240401002315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861253742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rene Phillippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821578931 PECOS PAC ID: 1951655364 Enrollment ID: I20181120002732 |
| Provider Name | Andrew Schmale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235585829 PECOS PAC ID: 8224329016 Enrollment ID: I20240308001264 |
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