| Amita Sadashiv Shetty, MD | |
|
3308 Melrose Rd, Fayetteville, NC 28304-1604 | |
| (910) 615-3200 | |
| (910) 615-3201 |
| Full Name | Amita Sadashiv Shetty |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 3308 Melrose Rd, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548267958 | NPI | - | NPPES |
| 1173E | Other | NC | BCBS |
| 891173E | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 009700753 (North Carolina) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 9700753 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Cape Fear Valley Hoke Hospital | Raeford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland County Hospital System Inc | 1850204041 | 532 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Cape Fear Valley Health System Specialty Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750616108 PECOS PAC ID: 2567506942 Enrollment ID: O20100223000688 |
| Entity Name | Cape Fear Valley Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957655 PECOS PAC ID: 0648707109 Enrollment ID: O20241220003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Amita Sadashiv Shetty, MD 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 Ph: (910) 615-6949 | Amita Sadashiv Shetty, MD 3308 Melrose Rd, Fayetteville, NC 28304-1604 Ph: (910) 615-3200 |
Kenneth Melton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |