| Vasil Mamaladze, MD | |
|
1447 N Harrison St, Saginaw, MI 48602-4727 | |
| (989) 583-0000 | |
| Not Available |
| Full Name | Vasil Mamaladze |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 1447 N Harrison St, Saginaw, 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 |
|---|---|---|---|
| 1073832929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4713-320 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 4301097411 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 113 |
| Entity Name | Vituity-wisconsin Anesthesia Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Vasil Mamaladze, MD 75 Remittance Dr Dept 3040, Chicago, IL 60675-3040 Ph: () - | Vasil Mamaladze, MD 1447 N Harrison St, Saginaw, MI 48602-4727 Ph: (989) 583-0000 |
Dr. Scott Marshall Placeway, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1447 N Harrison St, Saginaw, MI 48602 Phone: 989-583-4511 | |
Dr. Jeffrey Scott Smith, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Cooper Ave, Saginaw, MI 48602 Phone: 989-583-6200 | |
Dr. Lakshmana R Madala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1119 S Washington Ave, Saginaw, MI 48601 Phone: 989-752-1900 Fax: 989-752-1901 | |
Dr. Perlita P. Ilem, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1447 N Harrison St, Saginaw, MI 48602 Phone: 989-583-4511 | |
Dr. Syed Khursheed Alam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Cooper Ave, Saginaw, MI 48602 Phone: 989-583-6200 Fax: 989-583-7356 | |
Ramesh Penumetsa Raju,, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 590 Canterbury Dr, Saginaw, MI 48638 Phone: 989-776-8033 |