Negean Vandordaklou, MD is a medicare enrolled "Emergency Medicine" physician in Southgate, Michigan. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Columbia Emergency Medical Group Inc and her current practice location is
13900 Parkview Ln, Apt 203, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at
(310) 658-3213.
Negean Vandordaklou is licensed to practice in Michigan (license number 4301092691) 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 1215178207.
Physician's Profile
Full Name | Negean Vandordaklou |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 16 Years |
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Location | 13900 Parkview Ln, Southgate, 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:
- Negean Vandordaklou graduated from medical school in 2008
NPI Data:
- NPI Number: 1215178207
- Provider Enumeration Date: 03/20/2009
- Last Update Date: 03/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 2961688015
- Enrollment ID: I20110525000586
Medical Identifiers
Medical identifiers for Negean Vandordaklou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215178207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301092691 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Columbia Emergency Medical Group Inc | 2668376500 | 34 |
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. Negean Vandordaklou allows following entities to bill medicare on her behalf.
Entity Name | Columbia Emergency Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871551119 PECOS PAC ID: 2668376500 Enrollment ID: O20031121000897 |
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Entity Name | Regents Of The University Of |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154379394 PECOS PAC ID: 7517869605 Enrollment ID: O20040120001119 |
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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. Negean Vandordaklou 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 |
Negean Vandordaklou, MD 13900 Parkview Ln, Apt 203, Southgate, MI 48195-3409 Ph: (310) 658-3213 | Negean Vandordaklou, MD 13900 Parkview Ln, Apt 203, Southgate, MI 48195-3409 Ph: (310) 658-3213 |
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