Shad Siddiqi, DO - Medicare Pain Management in Southfield, MI

Shad Siddiqi, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Southfield, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice The Porretta Center For Orthopaedic Surgery, Pllc and his current practice location is 22250 Providence Dr Ste 401, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (866) 974-2673.

Shad Siddiqi is licensed to practice in Michigan (license number 5101024603) 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 1154733285.

Contact Information

Shad Siddiqi, DO
22250 Providence Dr Ste 401,
Southfield, MI 48075-6212
(866) 974-2673
(866) 939-2673



Physician's Profile

Full NameShad Siddiqi
GenderMale
SpecialityPain Management
Experience10 Years
Location22250 Providence Dr Ste 401, Southfield, 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:
  • Shad Siddiqi graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1154733285
  • Provider Enumeration Date: 05/23/2014
  • Last Update Date: 08/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385951532
  • Enrollment ID: I20190722003565

Medical Identifiers

Medical identifiers for Shad Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154733285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 5101024603 (Michigan)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 5101024603 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Porretta Center For Orthopaedic Surgery, Pllc286058554428

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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. Shad Siddiqi allows following entities to bill medicare on his behalf.
Entity NameThe Porretta Center For Orthopaedic Surgery, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306818331
PECOS PAC ID: 2860585544
Enrollment ID: O20070911000839

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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. Shad Siddiqi 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
Shad Siddiqi, DO
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266

Ph: (866) 974-2673
Shad Siddiqi, DO
22250 Providence Dr Ste 401,
Southfield, MI 48075-6212

Ph: (866) 974-2673

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Pain Medicine Doctors in Southfield, MI

Dr. Joel R Schechet, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 26025 Lahser, 2nd Floor, Southfield, MI 48033
Phone: 248-663-1900    Fax: 248-663-1902
Dr. Nazih Iskander, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18161 W 13 Mile Rd, Ste C, Southfield, MI 48076
Phone: 216-401-9257    
Dr. Daniel A. Schwarz, MD
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075
Phone: 248-798-0368    Fax: 888-330-7328
Dr. Karl Robert Freydl, DO
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034
Phone: 877-784-3667    Fax: 248-869-3982

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