Amod S Tootla, MD is a medicare enrolled "Specialist" physician in Waterford, Michigan. His current practice location is
5220 Highland Rd Ste 200, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 334-3197.
Amod S Tootla is licensed to practice in Michigan (license number 4301031237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841340510.
Physician's Profile
Full Name | Amod S Tootla |
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Gender | Male |
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Speciality | Specialist |
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Location | 5220 Highland Rd Ste 200, Waterford, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841340510
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729006804
- Enrollment ID: I20100514000856
Medical Identifiers
Medical identifiers for Amod S Tootla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841340510 | NPI | - | NPPES |
2100453 | Medicaid | MI | |
0639891 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | AT031237 (Michigan) | Secondary |
208C00000X | Colon & Rectal Surgery | 4301031237 (Michigan) | Secondary |
174400000X | Specialist | 4301031237 (Michigan) | Primary |
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. Amod S Tootla 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 Address | Practice Location Address |
Amod S Tootla, MD 5220 Highland Rd Ste 200, Waterford, MI 48327-1973 Ph: (248) 334-3197 | Amod S Tootla, MD 5220 Highland Rd Ste 200, Waterford, MI 48327-1973 Ph: (248) 334-3197 |
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