| Dr Chaitanya Vijay Brundavanam, MD | |
|
1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | |
| (906) 776-5316 | |
| (906) 776-5761 |
| Full Name | Dr Chaitanya Vijay Brundavanam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 1721 S Stephenson Ave, Iron Mountain, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669699211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 4301088796 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4301088796 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dickinson County Memorial Hospital | Iron mountain, MI | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Inpatient Physicians-michigan Pllc | 5395896849 | 246 |
| Mclaren Northern Michigan | 9931018181 | 73 |
| Entity Name | Mclaren Northern Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
| Entity Name | Hospitalist Medicine Physicians Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013180181 PECOS PAC ID: 4486703170 Enrollment ID: O20090529000290 |
| Entity Name | Sound Inpatient Physicians-michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
| Entity Name | Apogee Medical Group Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053655134 PECOS PAC ID: 9931347879 Enrollment ID: O20130604000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chaitanya Vijay Brundavanam, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 776-5316 | Dr Chaitanya Vijay Brundavanam, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 776-5316 |
Robert G. Scharffenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Gregory William Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ellen E Van Laanen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Beth Ann Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 | |
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Aldo John Domenichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Dr. Daniel M Mitchell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 |