Amy L Braddock, MD in Pontiac, MI - Medicare General Surgery

Amy L Braddock, MD is a medicare enrolled "Surgery" physician in Pontiac, Michigan. She went to Wayne State University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Iha Olma Specialty Services Llc and her current practice location is 44555 Woodward Ave, Suite 206, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 338-7171.

Amy L Braddock is licensed to practice in Michigan (license number 4301074104) 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 1578632246.

Contact Information

	Amy L Braddock, MD
	44555 Woodward Ave, Suite 206, Pontiac, MI 48341
	(248) 338-7171
	(248) 858-3830

Map and Direction

Physician's Profile

Full Name	Amy L Braddock
Gender	Female
Speciality	General Surgery
Experience	25 Years
Location	44555 Woodward Ave, Pontiac, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy L Braddock attended and graduated from Wayne State University School Of Medicine in 1999

NPI Data:

NPI Number: 1578632246
Provider Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3072558055
Enrollment ID: I20050621000293

Medical Identifiers

Medical identifiers for Amy L Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578632246	NPI	-	NPPES
0206348782	Other		BCBSM
4736387	Medicaid	MI
AB074104	Other		STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	4301074104 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Oakland	Pontiac, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Olma Specialty Services Llc	8426464884	26

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. Amy L Braddock allows following entities to bill medicare on her behalf.

Entity Name	Iha Olma Specialty Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457949588 PECOS PAC ID: 8426464884 Enrollment ID: O20210309002554

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. Amy L Braddock 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
Amy L Braddock, MD 44555 Woodward Ave, Suite 206, Pontiac, MI 48341 Ph: (248) 338-7171	Amy L Braddock, MD 44555 Woodward Ave, Suite 206, Pontiac, MI 48341 Ph: (248) 338-7171

Reviews and Comments

Surgery Doctors in Pontiac, MI

Leah Liu, Surgery Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000
Leith Isaac Brown, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000
Dr. Alicia Nicole Kieninger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Suite 501, Pontiac, MI 48341 Phone: 248-338-7171 Fax: 248-858-3889
Jason Djohn, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234
Dr. Michael Maiden, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 617-721-2615
Dr. Sai Santosh Sreenivasan, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234
Kiranpreet Kaur, Surgery Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000

Amy L Braddock, MD - Medicare General Surgery in Pontiac, MI