Dr Chennakesava Reddy Kummathi, MD is a medicare enrolled "Hospitalist" physician in Crossville, Tennessee. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospital Physician Services - Southeast Professional Corporation and his current practice location is
421 S Main St, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 484-9511.
Dr Chennakesava Reddy Kummathi is licensed to practice in Tennessee (license number MD0000053606) 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 1780949768.
Physician's Profile
| Full Name | Dr Chennakesava Reddy Kummathi |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 421 S Main St, Crossville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chennakesava Reddy Kummathi graduated from medical school in 2007
NPI Data:
- NPI Number: 1780949768
- Provider Enumeration Date: 07/06/2012
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042516999
- Enrollment ID: I20220511002122
Medical Identifiers
Medical identifiers for Dr Chennakesava Reddy Kummathi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780949768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MD0000053606 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | MD0000053606 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
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 Chennakesava Reddy Kummathi allows following entities to bill medicare on his behalf.
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545 |
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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. Dr Chennakesava Reddy Kummathi 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 |
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Dr Chennakesava Reddy Kummathi, MD
5027 Shoshone Loop,
Crossville, TN 38572-6417
Ph: (423) 747-4740 | Dr Chennakesava Reddy Kummathi, MD
421 S Main St,
Crossville, TN 38555-5048
Ph: (931) 484-9511 |
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