Praveen Kumar Gonuguntla Kamma, DMD in Killeen, TX

Praveen Kumar Gonuguntla Kamma, DMD is a medicare enrolled "Dentist - General Practice" provider in Killeen, Texas. His current practice location is 3650 W Stan Schlueter Loop Ste 160, Killeen, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 699-6000.

Praveen Kumar Gonuguntla Kamma is licensed to practice in Illinois (license number 019032826) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104479724.

Contact Information

	Praveen Kumar Gonuguntla Kamma, DMD
	3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549-6814
	(254) 699-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Praveen Kumar Gonuguntla Kamma
Gender	Male
Speciality	Dentist - General Practice
Location	3650 W Stan Schlueter Loop Ste 160, Killeen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104479724
Provider Enumeration Date: 07/23/2019
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2264859313
Enrollment ID: I20200903001177

Medical Identifiers

Medical identifiers for Praveen Kumar Gonuguntla Kamma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104479724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	35519 (Texas)	Secondary
1223G0001X	Dentist - General Practice	019032826 (Illinois)	Primary

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. Praveen Kumar Gonuguntla Kamma allows following entities to bill medicare on his behalf.

Entity Name	Macoupin County Public Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446

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. Praveen Kumar Gonuguntla Kamma 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
Praveen Kumar Gonuguntla Kamma, DMD 2300 Wolf Ranch Pkwy Apt 3213, Georgetown, TX 78628-7289 Ph: (502) 999-6322	Praveen Kumar Gonuguntla Kamma, DMD 3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549-6814 Ph: (254) 699-6000

Reviews and Comments

Dentist in Killeen, TX

Dr. Austin Keith Woodfield, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1405 E Elms Rd, Killeen, TX 76542 Phone: 254-519-4700
Suzan Vannella Harris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 E Rancier Ave, Suite 110, Killeen, TX 76543 Phone: 254-781-8177
Dr. Steven Melter, DMD, MA Dentist Medicare: Not Enrolled in Medicare Practice Location: 2202 S W S Young Dr Ste 102, Killeen, TX 76543 Phone: 254-690-0092
Dr. Stephen James Vogel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2904 Trimmier Rd, Suite #6, Killeen, TX 76542 Phone: 254-526-2525
Dr. Priyanka Agrawal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3650 W Stan Schlueter Loop # 160, Killeen, TX 76549 Phone: 254-699-6000
Dr. Daood Kausar Alvi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3300 E Central Texas Expy, Ste. 302, Killeen, TX 76543 Phone: 254-699-6799

Praveen Kumar Gonuguntla Kamma, DMD - Medicare Dentist in Killeen, TX