| Dr Edelwina Dy, MD | |
|
358 E Chicago St, Suite 202, Coldwater, MI 49036-2072 | |
| (517) 279-5252 | |
| Not Available |
| Full Name | Dr Edelwina Dy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 358 E Chicago St, Coldwater, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023045382 | NPI | - | NPPES |
| 3501243571 | Other | MI | BCBS PIN |
| 1231657 | Other | MI | PHP/IBA |
| 3243942 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301058822 (Michigan) | Primary |
| Entity Name | Community Health Center Of Branch County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124055009 PECOS PAC ID: 9335037514 Enrollment ID: O20040309000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edelwina Dy, MD 274 E Chicago St, Coldwater, MI 49036-2041 Ph: (517) 279-5400 | Dr Edelwina Dy, MD 358 E Chicago St, Suite 202, Coldwater, MI 49036-2072 Ph: (517) 279-5252 |
Dr. Arivoli Veerappan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 358 E Chicago St, Suite 202, Coldwater, MI 49036 Phone: 517-279-5252 | |
Dr. Mehalai Arivoli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 E Chicago St, Coldwater, MI 49036 Phone: 517-924-1465 | |
Dr. Emad Kassas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 358 E Chicago St Ste C, Coldwater, MI 49036 Phone: 519-819-8583 | |
Dr. Kamal Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 358 E Chicago St, Suite 202, Coldwater, MI 49036 Phone: 517-279-5252 |