| 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 | 15 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 |
|---|---|---|
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Stanly Regional Medical Center | Albemarle, NC | Hospital |
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Of Sc Llc | 5890127344 | 141 |
| Carolinas Physicians Network Inc | 3375449655 | 2373 |
| Wake Forest University Health Sciences | 4486564952 | 2614 |
| Capstone Health Services Foundation Pc | 6103724489 | 164 |
| Entity Name | Sound Physicians Of South Carolina, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922428358 PECOS PAC ID: 6800014762 Enrollment ID: O20140905002528 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20151015001850 |
| Entity Name | 24 On Physicians Of Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
| 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 |