| Shelly C Lall, MD | |
|
1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 | |
| (717) 531-8521 | |
| Not Available |
| Full Name | Shelly C Lall |
|---|---|
| Gender | Female |
| Speciality | Cardiac Surgery |
| Experience | 23 Years |
| Location | 1221 Sixth Street, Traverse City, 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 |
|---|---|---|---|
| 1740235886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2005027553 (Missouri) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301099915 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Home Care | Traverse city, MI | Home health agency |
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly C Lall, MD 1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 Ph: (231) 935-5730 | Shelly C Lall, MD 1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 Ph: (717) 531-8521 |
Richard G Smith, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1221 6th St, Suite 202, Traverse City, MI 49684 Phone: 231-935-5730 Fax: 231-935-5736 | |
Daniel Hayden Drake, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2793 Forest Lodge Dr, Traverse City, MI 49685 Phone: 231-935-5730 |