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 | 39 Years |
Location | 3308 Melrose Rd, Fayetteville, North Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548267958 | NPI | - | NPPES |
891173E | Medicaid | NC | |
1173E | Other | NC | BCBS |
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 |
Cape Fear Valley-bladen County Hospital | Elizabethtown, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland County Hospital System Inc | 1850204041 | 455 |
Cape Fear Valley Health System Specialty Group Llc | 2567506942 | 3 |
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 |
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: Accepting Medicare Assignments 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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |