Shivajee V Nallamothu, DO | |
5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 | |
(248) 620-2325 | |
(248) 620-2326 |
Full Name | Shivajee V Nallamothu |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 30 Years |
Location | 5701 Bow Pointe Dr, Clarkston, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720058100 | NPI | - | NPPES |
4471209 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 5101012532 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Home Health | Sterling heights, MI | Home health agency |
Mclaren Oakland | Pontiac, MI | Hospital |
Marlette Regional Hospital | Marlette, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mclaren Oakland | 0547173213 | 43 |
Marlette Regional Hospital | 3971408121 | 16 |
Mclaren Medical Group | 3971416082 | 195 |
Entity Name | Mclaren Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
Entity Name | Mclaren Oakland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053463778 PECOS PAC ID: 0547173213 Enrollment ID: O20031111000770 |
Entity Name | Marlette Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235333931 PECOS PAC ID: 3971408121 Enrollment ID: O20031202000143 |
Entity Name | Michigan Center For Orthopedic Surgery Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447222468 PECOS PAC ID: 4688649627 Enrollment ID: O20040901000745 |
Mailing Address | Practice Location Address |
---|---|
Shivajee V Nallamothu, DO 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 Ph: (248) 620-2325 | Shivajee V Nallamothu, DO 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 Ph: (248) 620-2325 |
Paul C. Lewis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Mithun Kotresh Neral, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Edward J Lis Jr., D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6310 Sashabaw Rd, Suite A, Clarkston, MI 48346 Phone: 248-620-2325 Fax: 248-620-2326 | |
Dr. Matthew Carl Sardelli, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5680 Bow Pointe Dr Ste 102, Clarkston, MI 48346 Phone: 248-792-0037 |