| Elaina Molter Shadrach, MD | |
|
40 W Saginaw Rd, Sanford, MI 48657-9206 | |
| (989) 687-9940 | |
| Not Available |
| Full Name | Elaina Molter Shadrach |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 40 W Saginaw Rd, Sanford, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083118764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301508089 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 036.158218 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Bay Region | Bay city, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Bay Region | 5597659011 | 112 |
| Mymichigan Medical Center Midland | 2264323633 | 494 |
| Entity Name | Mclaren Bay Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaina Molter Shadrach, MD 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (844) 832-1956 | Elaina Molter Shadrach, MD 40 W Saginaw Rd, Sanford, MI 48657-9206 Ph: (989) 687-9940 |
Tammy Phillips, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 40 W Saginaw Rd, Sanford, MI 48657 Phone: 989-687-9400 Fax: 989-687-9945 | |
Irfan Shaukat Manzoor, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 40 W Saginaw Rd, Sanford, MI 48657 Phone: 989-687-9940 Fax: 989-687-9945 |