Anisha Galla, | |
11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | |
(260) 425-6030 | |
(260) 425-6028 |
Full Name | Anisha Galla |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497455752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 75000131A (Indiana) | Primary |
Entity Name | Parkview Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
---|---|
Anisha Galla, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Anisha Galla, 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 Ph: (260) 425-6030 |
Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 | |
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845 Phone: 260-450-2151 | |
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr Ste 117, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
Brandon S Rentfrow, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 | |
John Wesley Farver, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 |