| Shivanhalli Prakash, MD | |
|
43311 Commons Dr, Clinton Twp, MI 48038-1109 | |
| (586) 263-8555 | |
| (586) 263-8558 |
| Full Name | Shivanhalli Prakash |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 53 Years |
| Location | 43311 Commons Dr, Clinton Twp, 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 |
|---|---|---|---|
| 1245343250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | SP407447 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| 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 |
| Entity Name | Shivana N. Prakash Mdpc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457409971 PECOS PAC ID: 8224052881 Enrollment ID: O20060123000157 |
| Entity Name | Pioneer Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093296592 PECOS PAC ID: 2860743309 Enrollment ID: O20180924001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivanhalli Prakash, MD 43311 Commons Drive, Clinton Township, MI 48038-1109 Ph: (586) 263-8555 | Shivanhalli Prakash, MD 43311 Commons Dr, Clinton Twp, MI 48038-1109 Ph: (586) 263-8555 |
Mr. James Edward Johnson, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 37400 Garfield Rd, Suite 120, Clinton Twp, MI 48036 Phone: 586-228-3800 Fax: 586-228-9800 | |
Dr. Rajesh C Bhagat, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19181 15 Mile Rd, Clinton Twp, MI 48035 Phone: 586-790-1700 Fax: 586-790-1701 | |
Dr. James Joseph Giliberto Jr., D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 37400 Garfield Rd, Suite 120, Clinton Twp, MI 48036 Phone: 586-228-3800 Fax: 586-228-9800 | |
Thomas Fohnatee King, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2950 | |
Dr. Gregory Scott Gaborek, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 38770 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-421-4204 Fax: 586-421-4222 | |
Dr. Lynn Louise Mathia, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 37399 Garfield Rd, Suite 204, Clinton Twp, MI 48036 Phone: 586-421-4204 Fax: 586-421-4222 |