Phani Deepthi Vadlamudi, MD is a medicare enrolled "Family Medicine" physician in Harrison, Michigan. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mymichigan Medical Center Clare and her current practice location is
815 N Clare Ave, Harrison, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 539-5261.
Phani Deepthi Vadlamudi is licensed to practice in Michigan (license number 4301103017) 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 1932426293.
Physician's Profile
| Full Name | Phani Deepthi Vadlamudi |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 815 N Clare Ave, Harrison, 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. |
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Medical Education and Training:
- Phani Deepthi Vadlamudi graduated from medical school in 2007
NPI Data:
- NPI Number: 1932426293
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 07/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 2567605702
- Enrollment ID: I20130906000749
Medical Identifiers
Medical identifiers for Phani Deepthi Vadlamudi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932426293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4301103017 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 27761 (Oklahoma) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mymichigan Medical Center Clare | 7012829773 | 97 |
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. Phani Deepthi Vadlamudi allows following entities to bill medicare on her behalf.
| Entity Name | Mymichigan Medical Center Clare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134394026
PECOS PAC ID: 7012829773
Enrollment ID: O20080721000628 |
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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. Phani Deepthi Vadlamudi 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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Phani Deepthi Vadlamudi, MD
815 N Clare Ave,
Harrison, MI 48625-9194
Ph: (989) 539-5261 | Phani Deepthi Vadlamudi, MD
815 N Clare Ave,
Harrison, MI 48625-9194
Ph: (989) 539-5261 |
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