Dr Vijaya Gopal Kotha, MD in Mount Clemens, MI

Dr Vijaya Gopal Kotha, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Clemens, Michigan. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Henry Ford Medical Group, Bal K Gupta Md Pc and his current practice location is 215 North Ave, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 580-6760.

Dr Vijaya Gopal Kotha is licensed to practice in Michigan (license number 4301058577) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386657427.

Contact Information

	Dr Vijaya Gopal Kotha, MD
	215 North Ave, Mount Clemens, MI 48043-1716
	(313) 580-6760
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vijaya Gopal Kotha
Gender	Male
Speciality	Psychiatry
Experience	41 Years
Location	215 North Ave, Mount Clemens, 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.

Medical Education and Training:

Dr Vijaya Gopal Kotha graduated from medical school in 1983

NPI Data:

NPI Number: 1386657427
Provider Enumeration Date: 08/13/2006
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 6608869664
Enrollment ID: I20040406000305

Medical Identifiers

Medical identifiers for Dr Vijaya Gopal Kotha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386657427	NPI	-	NPPES
4224674	Medicaid	MI
26OE011140	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	4301058577 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124
Bal K Gupta Md Pc	5193779189	3

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. Dr Vijaya Gopal Kotha allows following entities to bill medicare on his behalf.

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

Entity Name	Bal K Gupta Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306937339 PECOS PAC ID: 5193779189 Enrollment ID: O20050311000898

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. Dr Vijaya Gopal Kotha 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
Dr Vijaya Gopal Kotha, MD 11900 E Twelve Mile Rd, Suite 111, Warren, MI 48093-3472 Ph: (586) 573-5300	Dr Vijaya Gopal Kotha, MD 215 North Ave, Mount Clemens, MI 48043-1716 Ph: (313) 580-6760

Reviews and Comments

Psychiatry & Neurology Doctors in Mount Clemens, MI

Eric L Zimmerman, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1030 Harrington St Ste Ll001, Mount Clemens, MI 48043 Phone: 586-493-3297
Dr. Margaret Samaan, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 North Ave, Mount Clemens, MI 48043 Phone: 586-466-9950
Dr. Julie Anne-marie Burnham, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1030 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3188 Fax: 586-493-3191
Dr. Pravin N Soni, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 279 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-627-0024 Fax: 586-627-0027
Sara Razmjou-schwarz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1030 Harrington St Ste Ll001, Mount Clemens, MI 48043 Phone: 586-493-8000 Fax: 586-493-3299
Fedor Opochinsky, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 215 North Ave, Mount Clemens, MI 48043 Phone: 586-466-9939 Fax: 586-466-9956

Dr Vijaya Gopal Kotha, MD - Medicare Psychiatry in Mount Clemens, MI