Dr Sushma Reddy, MD - Medicare Internal Medicine in Fort Gratiot, MI

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Dr Sushma Reddy, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Fort Gratiot, Michigan. Her current practice location is 5744 Lakeshore Rd, Fort Gratiot, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 871-0473.

Dr Sushma Reddy is licensed to practice in Michigan (license number 4301049962) 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 1427044981.

Contact Information

Dr Sushma Reddy, MD
5744 Lakeshore Rd,
Fort Gratiot, MI 48059-2815
(586) 871-0473
(810) 385-9216

Map and Direction




Physician's Profile

Full NameDr Sushma Reddy
GenderFemale
SpecialityInternal Medicine - Endocrinology, Diabetes & Metabolism
Location5744 Lakeshore Rd, Fort Gratiot, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427044981
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143233098
  • Enrollment ID: I20100218000364

Medical Identifiers

Medical identifiers for Dr Sushma Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427044981NPI-NPPES
110175127OtherGARAILROAD MEDICARE
2750251MedicaidMI
1107400641OtherMIBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 00027166 (Washington)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism C170924 (California)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism ME118322 (Florida)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 4301049962 (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. Dr Sushma Reddy allows following entities to bill medicare on her behalf.
Entity NameCarbon Health Primary Care Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972057990
PECOS PAC ID: 8628350626
Enrollment ID: O20170127001216

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. Dr Sushma Reddy 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
Dr Sushma Reddy, MD
5744 Lakeshore Rd,
Fort Gratiot, MI 48059-2815

Ph: (586) 871-0473		Dr Sushma Reddy, MD
5744 Lakeshore Rd,
Fort Gratiot, MI 48059-2815

Ph: (586) 871-0473

Reviews and Comments


Internal Medicine Doctors in Fort Gratiot, MI

Ahmad Alabbas, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 3050 Commerce Dr, Suite B, Fort Gratiot, MI 48059
Phone: 810-385-4441    Fax: 810-385-1540
Gaurav Bhalla, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 4190 24th Ave Ste 201, Fort Gratiot, MI 48059
Phone: 810-216-4200    
Rashim K Gupta, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059
Phone: 810-989-7478    Fax: 810-989-7644
Butheinah A Al-sharafi, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 4190 24th Ave, Suite:201, Fort Gratiot, MI 48059
Phone: 810-989-7478    Fax: 810-989-7644

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.