Acute Behavioral Health Services, P.c. | |
833 Park East Blvd Lafayette IN 47905-0785 | |
(765) 743-4400 | |
Not Available |
Full Name | Acute Behavioral Health Services, P.c. |
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Speciality | Hospitalist |
Location | 833 Park East Blvd, Lafayette, Indiana |
Authorized Official Name and Position | Anthony Steele (OWNER) |
Authorized Official Contact | 8003422898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Acute Behavioral Health Services, P.c. 265 Brookview Centre Way Ste 400 Knoxville TN 37919-4052 Ph: (865) 693-1000 | Acute Behavioral Health Services, P.c. 833 Park East Blvd Lafayette IN 47905-0785 Ph: (765) 743-4400 |
NPI Number | 1700453388 |
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Provider Enumeration Date | 06/10/2021 |
Last Update Date | 10/08/2024 |
Medicare PECOS PAC ID | 8921490681 |
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Medicare Enrollment ID | O20220110001819 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700453388 | NPI | - | NPPES |
Provider Name | Samir Gamal Ishak |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548257488 PECOS PAC ID: 4880655331 Enrollment ID: I20041019001023 |
Provider Name | Oleh Dzera |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255348371 PECOS PAC ID: 5991726044 Enrollment ID: I20051216000115 |
Provider Name | Syed J Khan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407807746 PECOS PAC ID: 8224035480 Enrollment ID: I20061031000434 |
Provider Name | Olufunke L Brimmo-longe |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568418176 PECOS PAC ID: 4183686413 Enrollment ID: I20091005000071 |
Provider Name | Olaniyi Osuntokun |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548375058 PECOS PAC ID: 9739362633 Enrollment ID: I20110331000119 |
Provider Name | Leslie M Pell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699176800 PECOS PAC ID: 1254551260 Enrollment ID: I20140925000551 |
Provider Name | Curtis Stennett |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831432574 PECOS PAC ID: 5991947988 Enrollment ID: I20150218001397 |
Provider Name | Morgan Amelia Mccormick |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487067286 PECOS PAC ID: 6901023944 Enrollment ID: I20151013000109 |
Provider Name | Azubike Nwokedi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336507094 PECOS PAC ID: 8729383583 Enrollment ID: I20160217000173 |
Provider Name | Charles Jin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801966924 PECOS PAC ID: 1658329693 Enrollment ID: I20170331000484 |
Provider Name | Katherine M Hafer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639695067 PECOS PAC ID: 0143595231 Enrollment ID: I20170928002511 |
Provider Name | Ishrat Ali Bhat |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649433533 PECOS PAC ID: 9234312620 Enrollment ID: I20171005001912 |
Provider Name | Kenneth Richmond |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184891277 PECOS PAC ID: 6608015342 Enrollment ID: I20180517001225 |
Provider Name | Charles Evans |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316334899 PECOS PAC ID: 7315271871 Enrollment ID: I20190703000566 |
Provider Name | Jessica L Walsh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447886957 PECOS PAC ID: 2264854553 Enrollment ID: I20200615000606 |
Provider Name | Cody Nelson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790334118 PECOS PAC ID: 5698193209 Enrollment ID: I20200915000300 |
Provider Name | Latoya C Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235804642 PECOS PAC ID: 3274924469 Enrollment ID: I20211223000094 |
Provider Name | Amber Reann Phebus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639809528 PECOS PAC ID: 0042688178 Enrollment ID: I20221122000811 |
Provider Name | Tara E Gavardinas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952603664 PECOS PAC ID: 0547441628 Enrollment ID: I20230602000285 |
Provider Name | Olusade O Fakolade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801594072 PECOS PAC ID: 6103284153 Enrollment ID: I20230622003371 |
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