| Dr Shivaprasad K Shetty, MD | |
|
240 W Main St, Morenci, MI 49256-1455 | |
| (517) 458-6848 | |
| (517) 458-7614 |
| Full Name | Dr Shivaprasad K Shetty |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 240 W Main St, Morenci, 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 |
|---|---|---|---|
| 1235133190 | NPI | - | NPPES |
| 0152338 | Medicaid | OH | |
| 3459792 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35068087S (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 4301062948 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Jackson, MI | Home health agency |
| Elara Caring | Toledo, OH | Home health agency |
| Ohioans Home Healthcare, Inc | Perrysburg, OH | Home health agency |
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Henry County Hospital, Inc | Napoleon, OH | Hospital |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Entity Name | Morenci Medical Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962690735 PECOS PAC ID: 3870495849 Enrollment ID: O20040121001122 |
| Entity Name | Rs Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558535807 PECOS PAC ID: 3375501240 Enrollment ID: O20081115000060 |
| Entity Name | Memorial Professional Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164 |
| Entity Name | Mercy Medical Partners Northern Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shivaprasad K Shetty, MD 240 W Main St, Morenci, MI 49256-1455 Ph: (517) 458-6848 | Dr Shivaprasad K Shetty, MD 240 W Main St, Morenci, MI 49256-1455 Ph: (517) 458-6848 |