Dr Pallavi Jasti, MD | |
15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | |
(586) 263-2506 | |
Not Available |
Full Name | Dr Pallavi Jasti |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 15855 19 Mile Rd, Clinton Twp, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417123977 | NPI | - | NPPES |
4301082244 | Other | MI | STATE LICENSE |
5315027169 | Other | MI | CONTROLLED DRUG LICENSE |
0930080 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 4301082244 (Michigan) | Primary |
207R00000X | Internal Medicine | 4301082244 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Henry Ford Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Henry Ford Macomb Hospital Corporation | 7911808381 | 285 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Pallavi Jasti, MD 4646 John R St, 11-hmo, Detroit, MI 48201-1916 Ph: (313) 576-1000 | Dr Pallavi Jasti, MD 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 263-2506 |
Dr. Lisa Higley, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36333 Harper Ave, Clinton Twp, MI 48035 Phone: 586-792-8877 Fax: 586-792-8876 | |
Dr. Howard B Kerwin, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 15520 19 Mile Rd, Ste 480, Clinton Twp, MI 48038 Phone: 586-228-1010 Fax: 586-228-8570 | |
Dr. Rodoljub Dimitrijevic, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 43421 Garfield Rd, Ste 1, Clinton Twp, MI 48038 Phone: 586-286-6072 Fax: 586-286-0900 | |
Robert Waldmann, D.O. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 43555 Dalcoma Dr, Suite 8, Clinton Twp, MI 48038 Phone: 586-286-9055 Fax: 586-286-2934 | |
Dr. George Helmy Nassif, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 42621 Garfield Rd, Suite 108, Clinton Twp, MI 48038 Phone: 586-263-3312 Fax: 586-263-5311 | |
Chakradhar Coochcula Reddy, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36232 Garfield, Clinton Twp, MI 48035 Phone: 586-791-5210 Fax: 586-791-0049 | |
Mr. Raad Ausi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 15717 15 Mile Rd, Clinton Twp, MI 48035 Phone: 586-285-3800 Fax: 586-285-3818 |