| Dr Eddie E Michli, MD | |
|
115 Water St, Suite 104, Milford, MA 01757-3015 | |
| (508) 482-5411 | |
| (508) 482-5417 |
| Full Name | Dr Eddie E Michli |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 115 Water St, Milford, Massachusetts |
| 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 |
|---|---|---|---|
| 1194924738 | NPI | - | NPPES |
| 2802711 | Other | NJ | UNITED HEALTH CARE |
| 60033609 | Other | NJ | HORIZON NJ HEALTH |
| 01004599400 | Other | NJ | AMERICHOICE |
| 0136514 | Medicaid | NJ | |
| P3807804 | Other | NJ | OXFORD |
| 1100884441A | Medicaid | MA | |
| 1686964 | Other | NJ | AETNA |
| 3433401000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 3K6567 | Other | NJ | HEALTHNET |
| 4358685 | Other | NJ | CIGNA |
| 44821 | Other | NJ | UNIVERISTY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 246328 (Massachusetts) | Primary |
| 208800000X | Urology | MA08231300 (New Jersey) | Secondary |
| 208800000X | Urology | D0067773 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Health-milford Regional Medical Ctr | Milford, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Milford Regional Physician Group, Inc. | 5597679449 | 219 |
| Umass Memorial Medical Group Inc | 4284539891 | 2494 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Milford Regional Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eddie E Michli, MD 9 Industrial Rd Ste 5, Milford, MA 01757-3736 Ph: (508) 473-1480 | Dr Eddie E Michli, MD 115 Water St, Suite 104, Milford, MA 01757-3015 Ph: (508) 482-5411 |
Sanjaya Kumar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 115 Water Street, Suite 104, Milford, MA 01757 Phone: 508-482-5411 Fax: 508-482-5417 |