| Mesa Springs Physician Group Llc | |
|
5560 Mesa Springs Dr Fort Worth TX 76123-2120 | |
| (817) 406-3423 | |
| Not Available |
| Full Name | Mesa Springs Physician Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5560 Mesa Springs Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Gina Warren (DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 5033713338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Springs Physician Group Llc 4801 Olympia Park Plz Ste 1000 Louisville KY 40241-2090 Ph: (412) 588-3546 | Mesa Springs Physician Group Llc 5560 Mesa Springs Dr Fort Worth TX 76123-2120 Ph: (817) 406-3423 |
| NPI Number | 1225554173 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 1456712454 |
|---|---|
| Medicare Enrollment ID | O20230807001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225554173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hemant K Day |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730190638 PECOS PAC ID: 1658350954 Enrollment ID: I20040720000036 |
| Provider Name | Nathaniel William Seck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073924312 PECOS PAC ID: 5890912729 Enrollment ID: I20151205000040 |
| Provider Name | Amandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457914624 PECOS PAC ID: 3577894476 Enrollment ID: I20240328001901 |
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