Dr Visala Dandamudi, MD | |
25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | |
(586) 773-6020 | |
(586) 773-6093 |
Full Name | Dr Visala Dandamudi |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 30 Years |
Location | 25869 Kelly Rd, Roseville, 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 |
---|---|---|---|
1982632691 | NPI | - | NPPES |
4658039 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301080937 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Brighton Center For Recovery | Brighton, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Brighton Center For Recovery | 2668466996 | 12 |
Entity Name | Ascension Brighton Center For Recovery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265527337 PECOS PAC ID: 2668466996 Enrollment ID: O20040412000189 |
Mailing Address | Practice Location Address |
---|---|
Dr Visala Dandamudi, MD 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 Ph: (586) 773-6020 | Dr Visala Dandamudi, MD 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 Ph: (586) 773-6020 |
Christie Cheng, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25869 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Dr. Sharon Jean Myers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17017 E 12 Mile Rd, Roseville, MI 48066 Phone: 586-445-8910 | |
Paul A Cullis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 586-771-7440 Fax: 586-771-9966 | |
Dr. Haresh S Mehta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25869 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Vlad Cristian Nasta, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 248-553-0010 | |
Alicia G Lumley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25195 Kelly Rd, Suite B, Roseville, MI 48066 Phone: 586-777-3370 Fax: 586-777-3380 | |
James Darryl Adamo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25509 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-252-2616 Fax: 313-563-8443 |