Leila Ettefagh, MD - Medicare Pain Management in Novi, MI

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Leila Ettefagh, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Novi, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice The Porretta Center For Orthopaedic Surgery, Pllc and 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.

Contact Information

Leila Ettefagh, MD
26750 Providence Pkwy Ste 200,
Novi, MI 48374-1212
(866) 974-2673
(866) 939-2673

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Physician's Profile

Full NameLeila Ettefagh
GenderFemale
SpecialityPain Management
Experience22 Years
Location26750 Providence Pkwy Ste 200, Novi, Michigan
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1861887911
  • Provider Enumeration Date: 04/04/2015
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719218874
  • Enrollment ID: I20191004000443

Medical Identifiers

Medical identifiers for Leila Ettefagh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861887911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 4301117341 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 4301117341 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Porretta Center For Orthopaedic Surgery, Pllc286058554430

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. Leila Ettefagh allows following entities to bill medicare on her behalf.
Entity NameThe Porretta Center For Orthopaedic Surgery, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306818331
PECOS PAC ID: 2860585544
Enrollment ID: O20070911000839
Entity NameVhs Physicians Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849

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 AddressPractice 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

Reviews and Comments


Pain Medicine Doctors in Novi, MI

Dr. Ingrid Julie Yeo Chua-manalo, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 46325 W. Twelve Mile Rd., Ste. 100, Novi, MI 48377
Phone: 877-784-3667    Fax: 248-869-3982
Karl Robert Freydl, DO
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25500 Meadowbrook Rd Ste 250, Novi, MI 48375
Phone: 248-784-3667    Fax: 248-869-3982

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.