Prasad L Mikkilineni, MD | |
20206 Farmington Rd, Livonia, MI 48152-1412 | |
(248) 476-4724 | |
(248) 476-7091 |
Full Name | Prasad L Mikkilineni |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 49 Years |
Location | 20206 Farmington Rd, Livonia, 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 |
---|---|---|---|
1871585562 | NPI | - | NPPES |
2908473 | Medicaid | MI | |
1108207022 | Other | MEDICARE | |
1108207022 | Other | MI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301039936 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Home Care, Ann Arbor | Farmington hills, MI | Home health agency |
Angela Hospice Home Care | Livonia, MI | Hospice |
St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Marywood Nursing Care Center | Livonia, MI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Olma Primary Non Risk Llc | 1759792799 | 15 |
Prasad Mikkilineni Md Pllc | 6002175163 | 2 |
Select Rehabilitation Llc | 9032020490 | 144 |
Entity Name | St Mary Mercy Physician Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614 |
Entity Name | Prasad Mikkilineni Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629582226 PECOS PAC ID: 6002175163 Enrollment ID: O20180117001847 |
Entity Name | Iha Olma Primary Non Risk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073112819 PECOS PAC ID: 1759792799 Enrollment ID: O20201124001881 |
Mailing Address | Practice Location Address |
---|---|
Prasad L Mikkilineni, MD 20206 Farmington Rd, Livonia, MI 48152-1412 Ph: (248) 476-4724 | Prasad L Mikkilineni, MD 20206 Farmington Rd, Livonia, MI 48152-1412 Ph: (248) 476-4724 |
Mark Gregory Marrone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798 | |
Jay Maurice Daitch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20206 Farmington Rd, Livonia, MI 48152 Phone: 248-476-4724 Fax: 248-476-7091 | |
Dr. Mark R. Villeneuve, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 202, Livonia, MI 48154 Phone: 734-542-4470 Fax: 734-542-4475 | |
Dr. John Krausman, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20000 Farmington Rd, Bldg. E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 | |
Jenelle Hao-galera, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-793-6140 Fax: 734-402-0254 | |
Mark A Rasak, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17880 Farmington Rd, Livonia, MI 48152 Phone: 248-615-7300 Fax: 248-615-7333 | |
Maria B. Perry, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-464-0887 Fax: 734-402-0254 |