| Dr Shivam Prakash Kalan, MD | |
|
329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 | |
| (336) 716-9253 | |
| (336) 716-0030 |
| Full Name | Dr Shivam Prakash Kalan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 329 Nc Highway 801 N, Bermuda Run, North Carolina |
| 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 |
|---|---|---|---|
| 1861781932 | NPI | - | NPPES |
| 14V1F | Other | FL | BLUE CROSS BLUE SHIELD |
| 012202800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME117592 (Florida) | Secondary |
| 208M00000X | Hospitalist | 2022-02548 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| High Point Regional Health System | High point, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capstone Health Services Foundation Pc | 6103724489 | 139 |
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| 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 | Whatley Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063422756 PECOS PAC ID: 8224921705 Enrollment ID: O20040206000846 |
| Entity Name | Capstone Health Services Foundation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shivam Prakash Kalan, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Dr Shivam Prakash Kalan, MD 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 Ph: (336) 716-9253 |
Nathanael Elvin Phillips, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-0030 | |
Dr. Allyson Elizabeth Mentock, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-3202 |