Dr Smitha Patibandla, MD - Medicare Psychiatry in Fort Wayne, IN

Dr Smitha Patibandla, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Wayne, Indiana. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Fwbh Llc, Southlake Community Mental Health Center Inc and her current practice location is 800 Broadway, Suite 315, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 489-6030.

Dr Smitha Patibandla is licensed to practice in Indiana (license number 01066011A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154580918.

Contact Information

Dr Smitha Patibandla, MD
800 Broadway, Suite 315,
Fort Wayne, IN 46802-2149
(260) 489-6030
(260) 489-5536



Physician's Profile

Full NameDr Smitha Patibandla
GenderFemale
SpecialityPsychiatry
Experience33 Years
Location800 Broadway, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Smitha Patibandla graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1154580918
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 08/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8426194069
  • Enrollment ID: I20091012000465

Medical Identifiers

Medical identifiers for Dr Smitha Patibandla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154580918NPI-NPPES
200969710MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 01066011A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fwbh Llc32749095285
Southlake Community Mental Health Center Inc599160035537

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Smitha Patibandla allows following entities to bill medicare on her behalf.
Entity NameSouthlake Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821081290
PECOS PAC ID: 5991600355
Enrollment ID: O20031201000049

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Entity NameFwbh Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932843117
PECOS PAC ID: 3274909528
Enrollment ID: O20230123002617

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Smitha Patibandla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Smitha Patibandla, MD
800 Broadway, Suite 315,
Fort Wayne, IN 46802-2149

Ph: (260) 489-6030
Dr Smitha Patibandla, MD
800 Broadway, Suite 315,
Fort Wayne, IN 46802-2149

Ph: (260) 489-6030

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Psychiatry & Neurology Doctors in Fort Wayne, IN

Rajesh Verma, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    Fax: 260-460-1425
Kevin L. Murphy, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1720 Beacon St, Fort Wayne, IN 46805
Phone: 260-373-8000    Fax: 260-373-8034
Dr. Marlene Clare Bultemeyer, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-436-2416    Fax: 260-436-9662
Dr. Ahmed Zakria Youssef Elmaadawi, M.D.,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1720 Beacon St, Fort Wayne, IN 46805
Phone: 260-373-8000    Fax: 260-373-8024
Larry H. Lambertson,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717
Dr. Geeta B Bisht, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804
Phone: 260-432-5181    Fax: 260-432-5692
Don A Marshall Jr., MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805
Phone: 260-471-0632    Fax: 260-471-3451

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