| Dr Pratik Dipakeshwar Bhattacharya, MD MPH | |
|
44555 Woodward Ave, Suite 104, Pontiac, MI 48341-5031 | |
| (248) 858-6104 | |
| (248) 858-6115 |
| Full Name | Dr Pratik Dipakeshwar Bhattacharya |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 20 Years |
| Location | 44555 Woodward Ave, Pontiac, 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 |
|---|---|---|---|
| 1528212768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 4301088454 (Michigan) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301088454 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedish Health Services | 0244138196 | 934 |
| Providence Health And Services Washington | 0345139929 | 727 |
| Providence Health And Services Oregon | 0648183608 | 1338 |
| International Medical Clinic Pllc | 0941626188 | 7 |
| Providence Health And Services- Washington | 1557408176 | 177 |
| Providence Health And Services - Washington | 2860552973 | 223 |
| Providence Medical Institute | 5991609737 | 313 |
| Providence Health And Services Mt | 6608786306 | 293 |
| Providence Health And Services Washington | 6709782600 | 428 |
| Providence Health And Services- Washington | 8325100480 | 413 |
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Sjmh Medical Practice-smhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164623401 PECOS PAC ID: 0648183608 Enrollment ID: O20190814001020 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20190823000710 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20190826003348 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760425862 PECOS PAC ID: 5991609737 Enrollment ID: O20190903003192 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20200327001316 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20200413000199 |
| Entity Name | International Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306473418 PECOS PAC ID: 0941626188 Enrollment ID: O20200818002534 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215222617 PECOS PAC ID: 6608786306 Enrollment ID: O20200917000431 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20210113000803 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20230206001431 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pratik Dipakeshwar Bhattacharya, MD MPH 44428 Woodward Ave, Suite 101-credentialing, Pontiac, MI 48341-5009 Ph: (248) 858-6144 | Dr Pratik Dipakeshwar Bhattacharya, MD MPH 44555 Woodward Ave, Suite 104, Pontiac, MI 48341-5031 Ph: (248) 858-6104 |
Dr. Cory Eric Manoogian, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-384-8130 Fax: 248-625-2622 | |
Dr. Shahid Jamil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Ste 405, Pontiac, MI 48341 Phone: 248-333-7100 Fax: 248-858-7224 | |
Prasanth Talluri, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-6700 | |
Eric Collins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1685 Baldwin Ave Ste 100, Pontiac, MI 48340 Phone: 248-706-3450 | |
Lalitha Vemuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 28 W Lawrence St, Pontiac, MI 48342 Phone: 248-858-5326 | |
Haiyan Liu, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7200 | |
Maria Gisela Gallardo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Oakland Family Services, 114 Orchard Lake Road, Pontiac, MI 48341 Phone: 248-858-7766 |