Dr Chaitanya Vijay Brundavanam, MD | |
1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | |
(906) 776-5316 | |
(906) 776-5761 |
Full Name | Dr Chaitanya Vijay Brundavanam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1721 S Stephenson Ave, Iron Mountain, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669699211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 4301088796 (Michigan) | Secondary |
207Q00000X | Family Medicine | 4301088796 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dickinson County Memorial Hospital | Iron mountain, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Inpatient Physicians-michigan Pllc | 5395896849 | 201 |
Mclaren Northern Michigan | 9931018181 | 73 |
Entity Name | Mclaren Northern Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
Entity Name | Hospitalist Medicine Physicians Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013180181 PECOS PAC ID: 4486703170 Enrollment ID: O20090529000290 |
Entity Name | Sound Inpatient Physicians-michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
Entity Name | Apogee Medical Group Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053655134 PECOS PAC ID: 9931347879 Enrollment ID: O20130604000688 |
Entity Name | Adfinitas Health At Up Marquette, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205336260 PECOS PAC ID: 7315201480 Enrollment ID: O20180426001547 |
Entity Name | Hospitalist Medicine Physicians Of Michigan - Tcs Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437794153 PECOS PAC ID: 9739517137 Enrollment ID: O20200318001589 |
Mailing Address | Practice Location Address |
---|---|
Dr Chaitanya Vijay Brundavanam, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 776-5316 | Dr Chaitanya Vijay Brundavanam, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 776-5316 |
Robert G. Scharffenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Gregory William Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ellen E Van Laanen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Beth Ann Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 | |
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Aldo John Domenichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Dr. Daniel M Mitchell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 |