| Dr Ifeoma N Kamalu, MD | |
|
7300 N Canton Center Rd, Canton, MI 48187-1579 | |
| (734) 454-8002 | |
| (734) 454-2733 |
| Full Name | Dr Ifeoma N Kamalu |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 7300 N Canton Center Rd, Canton, Michigan |
| 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 |
|---|---|---|---|
| 1346410479 | NPI | - | NPPES |
| 12367308 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301087974 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Regional Medical Center | Gadsden, AL | Hospital |
| Russell Medical Center | Alexander city, AL | Hospital |
| Coosa Valley Medical Center | Sylacauga, AL | Hospital |
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Newgen Alabama Billing Llc | 9133657208 | 24 |
| Concord Company Of Tennessee Pllc | 0345588109 | 40 |
| Ohio County Hospital Corporation | 3577477264 | 68 |
| Entity Name | The Dch Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841394418 PECOS PAC ID: 8123924248 Enrollment ID: O20040204000874 |
| Entity Name | The Sylacauga Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124235320 PECOS PAC ID: 5294710398 Enrollment ID: O20040727001079 |
| Entity Name | Alabama Emergency Physician Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
| Entity Name | Nes Tennessee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
| Entity Name | Relias Emergency Medicine Specialists Of Fayette Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201543 PECOS PAC ID: 6800147604 Enrollment ID: O20180918001531 |
| Entity Name | Relias Emergency Medicine Specialists Of Northport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699261149 PECOS PAC ID: 2668724634 Enrollment ID: O20181003001104 |
| Entity Name | Relias Emergency Medicine Specialists Of Regional, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619463163 PECOS PAC ID: 9436401106 Enrollment ID: O20181008000902 |
| Entity Name | Crestwood Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548940497 PECOS PAC ID: 2163876491 Enrollment ID: O20230920003115 |
| Entity Name | Newgen Alabama Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013744424 PECOS PAC ID: 9133657208 Enrollment ID: O20250116003745 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ifeoma N Kamalu, MD 38935 Ann Arbor Rd, Credentialing/payer Enrollment, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr Ifeoma N Kamalu, MD 7300 N Canton Center Rd, Canton, MI 48187-1579 Ph: (734) 454-8002 |
Dr. John R Collop, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 N Canton Center Rd, Emergency Medicine Dept, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Chada Natalie Reddy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Jill Angela Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5816 N Sheldon Rd, Canton, MI 48187 Phone: 858-775-1700 | |
Asad Mahmoud Tarsin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7300 N Canton Center Rd, Canton, MI 48187 Phone: 734-454-8001 | |
Dr. David Weaver, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Tracey Lynne Venning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 S Canton Center Rd, Canton, MI 48188 Phone: 734-844-8743 Fax: 734-844-8744 |