Tammie Nallamothu, CRNA in Royal Oak, MI - Medicare Nurse Anesthetist, Certified Registered

Tammie Nallamothu, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Royal Oak, Michigan. Her current practice location is 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 423-2481.

Tammie Nallamothu is licensed to practice in Michigan (license number 4704219560) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063480259.

Contact Information

	Tammie Nallamothu, CRNA
	3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769
	(248) 423-2481
	Not Available

Map and Direction

Provider's Profile

Full Name	Tammie Nallamothu
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3601 W. 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063480259
Provider Enumeration Date: 03/14/2006
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6305820085
Enrollment ID: I20040618000141

Medical Identifiers

Medical identifiers for Tammie Nallamothu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063480259	NPI	-	NPPES
430F364420	Other	MI	BCBSM
4600772	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704219560 (Michigan)	Primary

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. Tammie Nallamothu allows following entities to bill medicare on her behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Tammie Nallamothu 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
Tammie Nallamothu, CRNA 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 Ph: (248) 423-2481	Tammie Nallamothu, CRNA 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 Ph: (248) 423-2481

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Royal Oak, MI

Ban Batu, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-3144
Amie Hamper, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181
Michelle Glaeser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Thomas Lundblad, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Patricia Ljubic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Catherine Wolfson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481
Nancy Berner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181

Tammie Nallamothu, CRNA - Medicare Nurse Anesthetist, Certified Registered in Royal Oak, MI