| Shishir Senapati, MD PC | |
|
43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 | |
| (586) 263-9355 | |
| (586) 263-6835 |
| Full Name | Shishir Senapati |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 43211 Dalcoma Dr, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528085263 | NPI | - | NPPES |
| 10158860001 | Other | MI | WELLNESS PLAN |
| 7995388 | Other | MI | AETNA |
| 135474 | Other | MI | GLHP |
| 0501580 | Other | MI | BCBS |
| 4800058 | Medicaid | MI | |
| NC011918 | Other | MI | MCARE |
| 352243716 | Other | MI | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | SS066528 (Michigan) | Primary |
| 208M00000X | Hospitalist | 4301066528 (Michigan) | Secondary |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Shishir Senapati, MD PC 43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 Ph: (586) 263-9355 | Shishir Senapati, MD PC 43211 Dalcoma Dr, #3, Clinton Township, MI 48038-6309 Ph: (586) 263-9355 |
Robert Douglas Kenewell, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 17610 Kingsbrooke Cir Apt 101, Clinton Township, MI 48038 Phone: 586-412-6906 | |
Martin Bloda, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 34336 Harper Ave, Clinton Township, MI 48035 Phone: 586-791-9173 Fax: 586-791-9393 |