Chandana Vavilala, MD is a medicare enrolled "Internal Medicine" physician in Saint John, Indiana. Her current practice location is
10860 Maple Ln, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 365-7000.
Chandana Vavilala is licensed to practice in Indiana (license number 01057596A) 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 1548230113.
Physician's Profile
Full Name | Chandana Vavilala |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 10860 Maple Ln, Saint John, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chandana Vavilala attended and graduated from in
NPI Data:
- NPI Number: 1548230113
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Chandana Vavilala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548230113 | NPI | - | NPPES |
200496780 | Medicaid | IN | |
00000072193 | Other | IN | ANTHEM TRADITIONAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 01057596A (Indiana) | 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. Chandana Vavilala 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 |
Chandana Vavilala, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Chandana Vavilala, MD 10860 Maple Ln, Saint John, IN 46373-8418 Ph: (219) 365-7000 |
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