Leila Ettefagh, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Novi, Michigan. Her current practice location is
26750 Providence Pkwy Ste 200, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(866) 974-2673.
Leila Ettefagh is licensed to practice in Michigan (license number 4301117341) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861887911.
Physician's Profile
Full Name | Leila Ettefagh |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 26750 Providence Pkwy Ste 200, Novi, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leila Ettefagh attended and graduated from in
NPI Data:
- NPI Number: 1861887911
- Provider Enumeration Date: 04/04/2015
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Leila Ettefagh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861887911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 4301117341 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301117341 (Michigan) | Primary |
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. Leila Ettefagh 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 |
Leila Ettefagh, MD 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 Ph: (866) 974-2673 | Leila Ettefagh, MD 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 Ph: (866) 974-2673 |
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