Dr Brahmananda Kiran Koduri, MD - Medicare Pediatrics in Gillette, WY

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Dr Brahmananda Kiran Koduri, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Gillette, Wyoming. His current practice location is 501 S Burma Ave, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 688-1534.

Dr Brahmananda Kiran Koduri is licensed to practice in Wyoming (license number 9302A) 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 1659608214.

Contact Information

Dr Brahmananda Kiran Koduri, MD
501 S Burma Ave,
Gillette, WY 82716-3426
(307) 688-1534
Not Available

Map and Direction




Physician's Profile

Full NameDr Brahmananda Kiran Koduri
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location501 S Burma Ave, Gillette, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659608214
  • Provider Enumeration Date: 11/03/2009
  • Last Update Date: 09/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0547584427
  • Enrollment ID: I20150124000015

Medical Identifiers

Medical identifiers for Dr Brahmananda Kiran Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659608214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 9302A (Wyoming)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. Dr Brahmananda Kiran Koduri allows following entities to bill medicare on his behalf.
Entity NameCampbell County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710098868
PECOS PAC ID: 2860392529
Enrollment ID: O20040206000510
Entity NameMemorial Hospital Of Laramie County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285621839
PECOS PAC ID: 1557357555
Enrollment ID: O20040423001172
Entity NameIvinson Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033628599
PECOS PAC ID: 8325304447
Enrollment ID: O20171213002021
Entity NameBanner Hospital Based Physicians West Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619464120
PECOS PAC ID: 5799131579
Enrollment ID: O20231031001364

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 Brahmananda Kiran Koduri 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 Brahmananda Kiran Koduri, MD
4516 Running W Dr Apt 101,
Gillette, WY 82718-2033

Ph: (609) 216-0537		Dr Brahmananda Kiran Koduri, MD
501 S Burma Ave,
Gillette, WY 82716-3426

Ph: (307) 688-1534

Reviews and Comments


Pediatrics Doctors in Gillette, WY

Dr. Judith M Boyle, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Burma Ave, Gillette, WY 82716
Phone: 307-688-1000    
Dr. Linda Kamil Abujaber-ammari, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1300 W 4th St, Gillette, WY 82716
Phone: 307-686-4900    Fax: 307-682-3466
Inara Aila Mcmaster, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 W Lakeway Rd Ste 800, Gillette, WY 82718
Phone: 307-387-9850    Fax: 307-487-8880
Dr. Julie Shibata Fall, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1308 W 4th St, Gillette, WY 82716
Phone: 307-687-1300    Fax: 307-682-1309
Natasha W Maremma, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 501 S Burma Ave, Gillette, WY 82716
Phone: 307-688-3636    
Dr. David Robert Fall, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1308 W 4th St, Gillette, WY 82716
Phone: 307-687-1300    Fax: 307-682-1309

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.