| Kavitha Baddam, MD | |
|
1096 S Belsay Rd Ste E, Burton, MI 48509-1948 | |
| (810) 762-1020 | |
| (810) 762-1042 |
| Full Name | Kavitha Baddam |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 1096 S Belsay Rd Ste E, Burton, 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 |
|---|---|---|---|
| 1790764553 | NPI | - | NPPES |
| 4428736 | Medicaid | MI | |
| KB073879 | Other | BLUE CROSS BLUE SHIELD | |
| 4428727 | Medicaid | MI | |
| 4429751 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4301073879 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4301073879 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Grand blanc, MI | Home health agency |
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Genesys | 7214288281 | 84 |
| Entity Name | Mclaren Caro Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073568978 PECOS PAC ID: 9234048166 Enrollment ID: O20040327000046 |
| Entity Name | Genesys Pho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275820110 PECOS PAC ID: 7618240409 Enrollment ID: O20180419001744 |
| Entity Name | Ascension Medical Group Genesys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598248718 PECOS PAC ID: 7214288281 Enrollment ID: O20181002000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Baddam, MD 3495 S Center Rd, Burton, MI 48519-1455 Ph: (810) 424-2011 | Kavitha Baddam, MD 1096 S Belsay Rd Ste E, Burton, MI 48509-1948 Ph: (810) 762-1020 |
Dr. Daniel Steven Edwin Rode, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1460 N Center Rd, Burton, MI 48509 Phone: 810-715-4300 | |
Alex Suchorab, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 N Center Rd, Burton, MI 48509 Phone: 810-715-4300 | |
Dr. Nastaran Biriji, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1460 N Center Rd, Burton, MI 48509 Phone: 810-715-4300 | |
Dr. Clarissa Kroese, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1460 N Center Rd, Burton, MI 48509 Phone: 810-715-4300 | |
Dr. Naofiumi Takemoto, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1460 N Center Rd, Burton, MI 48509 Phone: 810-715-4300 | |
Dr. James Lum, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1096 S Belsay Rd, Suite D, Burton, MI 48509 Phone: 810-743-3880 Fax: 810-743-3886 | |
Dr. Paul H Karr Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1096 S Belsay Rd, Suite A, Burton, MI 48509 Phone: 810-742-6100 Fax: 810-742-1742 |