| Dr Subramanyam Yadam, MD | |
|
4201 Campus Ridge Drive, Midland, MI 48640 | |
| (989) 488-5450 | |
| (989) 488-5455 |
| Full Name | Dr Subramanyam Yadam |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 51 Years |
| Location | 4201 Campus Ridge Drive, Midland, 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 |
|---|---|---|---|
| 1023126448 | NPI | - | NPPES |
| 2905610541 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2120984 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | SY038909 (Michigan) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | SY038909 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 414 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Subramanyam Yadam, MD 4201 Campus Ridgedrive, Midland, MI 48640 Ph: (989) 488-5450 | Dr Subramanyam Yadam, MD 4201 Campus Ridge Drive, Midland, MI 48640 Ph: (989) 488-5450 |
Stephen J Mattichak, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2660 W Sugnet Rd, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Waleed H Doghmi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
John Blamoun, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
Andrzej S. Boguszewski, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 | |
Sharon Agnes Levandowski, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 | |
Dr. Santiago Fabian Moscoso Martinez, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 |