Ms Himaja Gaddipati, DO in Warren, MI - Medicare Student in an Organized Health Care Education/Training Program

Ms Himaja Gaddipati, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. Her current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (719) 351-9547.

Ms Himaja Gaddipati is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215594791.

Contact Information

	Ms Himaja Gaddipati, DO
	11800 E 12 Mile Rd, Warren, MI 48093-3472
	(719) 351-9547
	Not Available

Physician's Profile

Full Name	Ms Himaja Gaddipati
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215594791
Provider Enumeration Date: 05/21/2019
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9234523655
Enrollment ID: I20220301002135

Medical Identifiers

Medical identifiers for Ms Himaja Gaddipati such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215594791	NPI	-	NPPES
48071	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	5151013966 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Michigan)	Primary

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. Ms Himaja Gaddipati 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 Address	Practice Location Address
Ms Himaja Gaddipati, DO 27321 Dequindre Rd, Madison Heights, MI 48071-3474 Ph: () -	Ms Himaja Gaddipati, DO 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (719) 351-9547

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Ms Himaja Gaddipati, DO - Medicare Student in an Organized Health Care Education/Training Program in Warren, MI