Dr Vijaya Gopal Kotha, MD - Medicare Psychiatry in Mount Clemens, MI

Dr Vijaya Gopal Kotha, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Clemens, Michigan. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Henry Ford Medical Group, Bal K Gupta Md Pc, Henry Ford Macomb Hospital Corporation and his current practice location is 215 North Ave, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 580-6760.

Dr Vijaya Gopal Kotha is licensed to practice in Michigan (license number 4301058577) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386657427.

Contact Information

Dr Vijaya Gopal Kotha, MD
215 North Ave,
Mount Clemens, MI 48043-1716
(313) 580-6760
Not Available



Physician's Profile

Full NameDr Vijaya Gopal Kotha
GenderMale
SpecialityPsychiatry
Experience41 Years
Location215 North Ave, Mount Clemens, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Vijaya Gopal Kotha graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1386657427
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608869664
  • Enrollment ID: I20040406000305

Medical Identifiers

Medical identifiers for Dr Vijaya Gopal Kotha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386657427NPI-NPPES
4224674MedicaidMI
26OE011140OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301058577 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095
Bal K Gupta Md Pc51937791893
Henry Ford Macomb Hospital Corporation7911808381276

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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 Vijaya Gopal Kotha allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142

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Entity NameBal K Gupta Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306937339
PECOS PAC ID: 5193779189
Enrollment ID: O20050311000898

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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 Vijaya Gopal Kotha 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 Vijaya Gopal Kotha, MD
11900 E Twelve Mile Rd, Suite 111,
Warren, MI 48093-3472

Ph: (586) 573-5300
Dr Vijaya Gopal Kotha, MD
215 North Ave,
Mount Clemens, MI 48043-1716

Ph: (313) 580-6760

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Psychiatry & Neurology Doctors in Mount Clemens, MI

Eric L Zimmerman, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1030 Harrington St Ste Ll001, Mount Clemens, MI 48043
Phone: 586-493-3297    
Dr. Margaret Samaan,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 215 North Ave, Mount Clemens, MI 48043
Phone: 586-466-9950    
Dr. Julie Anne-marie Burnham, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1030 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-3188    Fax: 586-493-3191
Dr. Pravin N Soni, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 279 N Groesbeck Hwy, Mount Clemens, MI 48043
Phone: 586-627-0024    Fax: 586-627-0027
Sara Razmjou-schwarz, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1030 Harrington St Ste Ll001, Mount Clemens, MI 48043
Phone: 586-493-8000    Fax: 586-493-3299
Fedor Opochinsky,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 215 North Ave, Mount Clemens, MI 48043
Phone: 586-466-9939    Fax: 586-466-9956

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