Dr Chethana Chandrupatla Gottam, MD - Medicare Dermatology in Berkley, MI

Dr Chethana Chandrupatla Gottam, MD is a medicare enrolled "Dermatology" physician in Berkley, Michigan. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Art Of Dermatology Pllc, Art Of Dermatology Pllc and her current practice location is 28903 Woodward Ave, Berkley, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 581-0333.

Dr Chethana Chandrupatla Gottam is licensed to practice in Michigan (license number 4301108548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669664009.

Contact Information

Dr Chethana Chandrupatla Gottam, MD
28903 Woodward Ave,
Berkley, MI 48072
(248) 581-0333
(248) 876-9144



Physician's Profile

Full NameDr Chethana Chandrupatla Gottam
GenderFemale
SpecialityDermatology
Experience19 Years
Location28903 Woodward Ave, Berkley, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Chethana Chandrupatla Gottam attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005
  NPI Data:
  • NPI Number: 1669664009
  • Provider Enumeration Date: 08/09/2007
  • Last Update Date: 08/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8628121902
  • Enrollment ID: I20130725000537

Medical Identifiers

Medical identifiers for Dr Chethana Chandrupatla Gottam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669664009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME116448 (Florida)Secondary
207N00000XDermatology 036.122055 (Illinois)Secondary
207N00000XDermatology 4301108548 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Art Of Dermatology Pllc983044169010
Art Of Dermatology Pllc983044169010

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Chethana Chandrupatla Gottam allows following entities to bill medicare on her behalf.
Entity NameArt Of Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275022519
PECOS PAC ID: 9830441690
Enrollment ID: O20240208000225

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chethana Chandrupatla Gottam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chethana Chandrupatla Gottam, MD
43900 Garfield Rd, Ste 100,
Clinton Township, MI 48038-1128

Ph: (586) 286-0112
Dr Chethana Chandrupatla Gottam, MD
28903 Woodward Ave,
Berkley, MI 48072

Ph: (248) 581-0333

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Dermatology Doctors in Berkley, MI

Lauren Law, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 27901 Woodward Ave, Berkley, MI 48072
Phone: 248-482-2150    Fax: 248-307-8201

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