| Priya Pullukat Bhattacharyya, MD | |
|
1540 Lake Lansing Rd Ste 203, Lansing, MI 48912-3757 | |
| (517) 913-6711 | |
| (517) 913-6712 |
| Full Name | Priya Pullukat Bhattacharyya |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1540 Lake Lansing Rd Ste 203, Lansing, 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 |
|---|---|---|---|
| 1821289315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-121103 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 4301508990 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Physician Group Pc | 0648277830 | 8 |
| Entity Name | Legacy Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801800719 PECOS PAC ID: 0648277830 Enrollment ID: O20061101000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Priya Pullukat Bhattacharyya, MD 210 Holmes Ave, Clarendon Hills, IL 60514-1418 Ph: (312) 237-7606 | Priya Pullukat Bhattacharyya, MD 1540 Lake Lansing Rd Ste 203, Lansing, MI 48912-3757 Ph: (517) 913-6711 |
Daniel Francis Bouchard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Osteopathic Internship Sparrow Hospital, Lansing, MI 48912 Phone: 231-955-3360 | |
Dr. Deja Danielle Rice, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Sparrow Health Systems 1215 E Michigan Avenue, Lansing, MI 48912 Phone: 517-364-5710 | |
Jana Haidar Ahmad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710 | |
Shimia Isaac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245, Lansing, MI 48912 Phone: 517-364-5772 | |
Katrina Anne Weirauch Engle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Suite 245-c, Lansing, MI 48912 Phone: 517-364-5772 Fax: 517-364-5764 | |
David Jonathan Pohl, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912 Phone: 517-913-3820 Fax: 517-913-3821 | |
Jeffrey Quinn, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-5710 |