| Srinivasa Reddy Madireddy, MD | |
|
4129 Okemos Rd, Ste 6, Okemos, MI 48864-2822 | |
| (517) 803-4544 | |
| (517) 803-4509 |
| Full Name | Srinivasa Reddy Madireddy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 4129 Okemos Rd, Okemos, 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 |
|---|---|---|---|
| 1033313069 | NPI | - | NPPES |
| SM084372 | Other | MI | STATE LIC# |
| 0803314742 | Other | MI | BCBSM |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 4301084372 (Michigan) | Primary |
| 208M00000X | Hospitalist | 4301084372 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Visiting Nurse & Hospice | Davison, MI | Hospice |
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Eaton County Medical Care Faci | Charlotte, MI | Nursing home |
| Holt Senior Care And Rehab Center, L L C | Holt, MI | Nursing home |
| Burcham Hills Retirement Ctr | East lansing, MI | Nursing home |
| Dimondale Nursing Care Center | Dimondale, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vlsr Madireddy Md Pc | 0042379166 | 2 |
| Entity Name | Vlsr Madireddy Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023267945 PECOS PAC ID: 0042379166 Enrollment ID: O20081104000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Srinivasa Reddy Madireddy, MD 1715 Hamilton Dr, Bloomfield, MI 48302-0222 Ph: (517) 803-4544 | Srinivasa Reddy Madireddy, MD 4129 Okemos Rd, Ste 6, Okemos, MI 48864-2822 Ph: (517) 803-4544 |
Dr. Harshini A Jayasuriya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 Jolly Rd Ste B, Okemos, MI 48864 Phone: 517-347-4085 Fax: 517-347-4170 | |
Emily Clare-showerman Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2270 Jolly Oak Rd, Okemos, MI 48864 Phone: 517-975-9475 Fax: 517-913-4042 | |
Dr. Gordon Clayton Spink, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3910 Sandlewood Dr, Okemos, MI 48864 Phone: 517-349-1826 | |
Dr. Quinn M. Bosworth, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 W Grand River Ave, Okemos, MI 48864 Phone: 517-339-2100 Fax: 517-339-4620 | |
Pauline Chiu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2205 Jolly Rd, Suite B, Okemos, MI 48864 Phone: 517-347-4085 Fax: 517-347-4170 | |
Vicki Manzano, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2154 Commons Pkwy, Okemos, MI 48864 Phone: 517-706-0444 |