Shad Siddiqi, DO in Southfield, MI - Medicare Pain Management

Shad Siddiqi, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Southfield, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice The Porretta Center For Orthopaedic Surgery, Pllc and his current practice location is 22250 Providence Dr Ste 401, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (866) 974-2673.

Shad Siddiqi is licensed to practice in Michigan (license number 5101024603) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154733285.

Contact Information

	Shad Siddiqi, DO
	22250 Providence Dr Ste 401, Southfield, MI 48075-6212
	(866) 974-2673
	(866) 939-2673

Map and Direction

Physician's Profile

Full Name	Shad Siddiqi
Gender	Male
Speciality	Pain Management
Experience	10 Years
Location	22250 Providence Dr Ste 401, Southfield, 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.

Medical Education and Training:

Shad Siddiqi graduated from medical school in 2014

NPI Data:

NPI Number: 1154733285
Provider Enumeration Date: 05/23/2014
Last Update Date: 08/01/2019

Medicare PECOS Information:

PECOS PAC ID: 4385951532
Enrollment ID: I20190722003565

Medical Identifiers

Medical identifiers for Shad Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154733285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	5101024603 (Michigan)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	5101024603 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Providence Hospital, Southfield And Novi	Southfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Porretta Center For Orthopaedic Surgery, Pllc	2860585544	28

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. Shad Siddiqi allows following entities to bill medicare on his behalf.

Entity Name	The Porretta Center For Orthopaedic Surgery, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306818331 PECOS PAC ID: 2860585544 Enrollment ID: O20070911000839

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. Shad Siddiqi 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
Shad Siddiqi, DO 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673	Shad Siddiqi, DO 22250 Providence Dr Ste 401, Southfield, MI 48075-6212 Ph: (866) 974-2673

Reviews and Comments

Pain Medicine Doctors in Southfield, MI

Dr. Joel R Schechet, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 26025 Lahser, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902
Dr. Nazih Iskander, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 18161 W 13 Mile Rd, Ste C, Southfield, MI 48076 Phone: 216-401-9257
Dr. Daniel A. Schwarz, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075 Phone: 248-798-0368 Fax: 888-330-7328
Dr. Karl Robert Freydl, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 Phone: 877-784-3667 Fax: 248-869-3982

Shad Siddiqi, DO - Medicare Pain Management in Southfield, MI