Jayakar Reddy Kanmantha Reddy, MD in Waterford Township, MI

Jayakar Reddy Kanmantha Reddy, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Waterford Township, Michigan. He graduated from medical school in 1988 and has 37 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 1255 North Oakland Boulevard, Suite 175, Waterford Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 666-2756.

Jayakar Reddy Kanmantha Reddy is licensed to practice in Michigan (license number 4301068131) 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 1629086244.

Contact Information

	Jayakar Reddy Kanmantha Reddy, MD
	1255 North Oakland Boulevard, Suite 175, Waterford Township, MI 48327
	(248) 666-2756
	(248) 666-2646

Map and Direction

Physician's Profile

Full Name	Jayakar Reddy Kanmantha Reddy
Gender	Male
Speciality	Internal Medicine
Experience	37 Years
Location	1255 North Oakland Boulevard, Waterford Township, 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:

Jayakar Reddy Kanmantha Reddy graduated from medical school in 1988

NPI Data:

NPI Number: 1629086244
Provider Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2365405255
Enrollment ID: I20041118001122

Medical Identifiers

Medical identifiers for Jayakar Reddy Kanmantha Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629086244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301068131 (Michigan)	Primary
207RG0300X	Internal Medicine - Geriatric Medicine	4301068131 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Oakland	Pontiac, MI	Hospital
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital

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. Jayakar Reddy Kanmantha Reddy allows following entities to bill medicare on his behalf.

Entity Name	Professional Primary Care Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588852933 PECOS PAC ID: 5294798187 Enrollment ID: O20041111000261

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. Jayakar Reddy Kanmantha Reddy 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
Jayakar Reddy Kanmantha Reddy, MD Po Box 7752, Bloomfield Hills, MI 48302-7752 Ph: (248) 666-2756	Jayakar Reddy Kanmantha Reddy, MD 1255 North Oakland Boulevard, Suite 175, Waterford Township, MI 48327 Ph: (248) 666-2756

Jayakar Reddy Kanmantha Reddy, MD - Medicare Internal Medicine in Waterford Township, MI