Kruthika Shanmugam, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Berkley, Michigan. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Atlanticare Physician Group Pa, Bellin Memorial Hospital Inc, Franciscan Physician Network and her current practice location is
2728 Phillips Ave, Berkley, Michigan. You can reach out to her office (for appointments etc.) via phone at
(661) 916-4352.
Kruthika Shanmugam is licensed to practice in Michigan (license number 4301501983) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811349822.
Physician's Profile
| Full Name | Kruthika Shanmugam |
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| Gender | Female |
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| Speciality | Neurology |
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| Experience | 8 Years |
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| Location | 2728 Phillips Ave, Berkley, Michigan |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kruthika Shanmugam graduated from medical school in 2016
NPI Data:
- NPI Number: 1811349822
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921385865
- Enrollment ID: I20220303002801
Medical Identifiers
Medical identifiers for Kruthika Shanmugam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811349822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301110579 (Michigan) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 75814-20 (Wisconsin) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 01086106A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA11167300 (New Jersey) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301501983 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Atlanticare Physician Group Pa | 8527953660 | 505 |
| Bellin Memorial Hospital Inc | 8820900749 | 533 |
| Franciscan Physician Network | 3072790682 | 983 |
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. Kruthika Shanmugam allows following entities to bill medicare on her behalf.
| Entity Name | Atlanticare Physician Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405 |
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| Entity Name | Meridian Medical Group-specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942362587
PECOS PAC ID: 6507962206
Enrollment ID: O20070425000673 |
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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. Kruthika Shanmugam 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 |
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Kruthika Shanmugam, MD
2728 Phillips Ave,
Berkley, MI 48072-3228
Ph: (805) 309-9104 | Kruthika Shanmugam, MD
2728 Phillips Ave,
Berkley, MI 48072-3228
Ph: (661) 916-4352 |
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