Dr Kanwaldeep S Sidhu, MD | |
23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | |
(586) 773-1300 | |
(586) 773-1600 |
Full Name | Dr Kanwaldeep S Sidhu |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 35 Years |
Location | 23829 Little Mack Ave, Saint Clair Shores, 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 |
---|---|---|---|
1770545956 | NPI | - | NPPES |
3164740 | Medicaid | MI | |
C4763 | Other | MI | MCARE |
0826968 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | KS054699 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Clair Orthopaedics And Sports Medicine Pc | 4486625027 | 24 |
Michigan Surgery Specialists Pc | 7113835075 | 40 |
Entity Name | St. Clair Orthopaedics And Sports Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720041288 PECOS PAC ID: 4486625027 Enrollment ID: O20040805000566 |
Mailing Address | Practice Location Address |
---|---|
Dr Kanwaldeep S Sidhu, MD 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 Ph: (586) 773-1300 | Dr Kanwaldeep S Sidhu, MD 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 Ph: (586) 773-1300 |
Dr. Jonathon Hinz, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 | |
Dr. Christopher N Zingas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 Fax: 586-773-1600 | |
Jeffrey Zacharias, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Ste 102, Saint Clair Shores, MI 48081 Phone: 586-774-5336 Fax: 586-779-2460 | |
Dr. Nicholas J Schoch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 Fax: 586-773-1600 | |
James Zurawski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave, Ste. 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 | |
Dr. Richard T Perry, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 Fax: 586-773-1600 | |
Dr. James J Dietz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 Fax: 586-773-1600 |