| Ishani Ali, MD | |
|
4100 Campus Ridge Dr, Midland, MI 48640-6139 | |
| (989) 488-5007 | |
| Not Available |
| Full Name | Ishani Ali |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 4100 Campus Ridge Dr, Midland, 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 |
|---|---|---|---|
| 1568485795 | NPI | - | NPPES |
| 472301 | Other | IL | HEALTHLINK |
| P00144447 | Other | IL | MEDICARE RAILROAD |
| 7215059 | Other | IL | BCBS PPO |
| IL01AB | Other | IL | JOHN DEERE |
| 036111079 | Medicaid | IL | |
| 097796 | Other | IL | HEALTH ALLIANCE |
| 1568485795 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036111079 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Ascension St Mary's Hospital | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 414 |
| Mymichigan Medical Group | 4981501939 | 184 |
| Entity Name | Mymichigan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905 |
| 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 |
|---|---|
| Ishani Ali, MD 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (844) 832-1956 | Ishani Ali, MD 4100 Campus Ridge Dr, Midland, MI 48640-6139 Ph: (989) 488-5007 |
Stephen J Mattichak, MD Geriatric Medicine 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. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Dr. Subramanyam Yadam, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
John Blamoun, MD Geriatric Medicine 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. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 | |
Sharon Agnes Levandowski, MD Geriatric Medicine 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. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 |