Dr Divya Lakshmi Indrakanti, MD in Jackson, TN

Dr Divya Lakshmi Indrakanti, MD is a medicare enrolled "Ophthalmology" physician in Jackson, Tennessee. Her current practice location is 112 Stonebridge Blvd, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 664-1994.

Dr Divya Lakshmi Indrakanti is licensed to practice in Tennessee (license number MD0000069208) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396208781.

Contact Information

	Dr Divya Lakshmi Indrakanti, MD
	112 Stonebridge Blvd, Jackson, TN 38305-2038
	(731) 664-1994
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Divya Lakshmi Indrakanti
Gender	Female
Speciality	Ophthalmology
Location	112 Stonebridge Blvd, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396208781
Provider Enumeration Date: 04/11/2019
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6709119936
Enrollment ID: I20231026001503

Medical Identifiers

Medical identifiers for Dr Divya Lakshmi Indrakanti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396208781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MD0000069208 (Tennessee)	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 Divya Lakshmi Indrakanti allows following entities to bill medicare on her behalf.

Entity Name	West Tennessee Eye Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811054232 PECOS PAC ID: 4789780495 Enrollment ID: O20081031000072

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 Divya Lakshmi Indrakanti 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
Dr Divya Lakshmi Indrakanti, MD 198 Moses Dr, Jackson, TN 38305-6938 Ph: (513) 652-0502	Dr Divya Lakshmi Indrakanti, MD 112 Stonebridge Blvd, Jackson, TN 38305-2038 Ph: (731) 664-1994

Reviews and Comments

Ophthalmology Doctors in Jackson, TN

Stephen Dumas Hammond Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414
Dr. William Bradford Priester, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 609 Skyline Dr, Jackson, TN 38301 Phone: 731-427-7799 Fax: 731-427-1476
Dr. Mark Roy Bateman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444
Mrs. Hilary C. Grissom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444
James Alfred Price Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 668 Skyline Drive, Jackson, TN 38301 Phone: 731-424-2414
Laura L Dipuma, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2027 Greystone Sq, Jackson, TN 38305 Phone: 731-668-6882 Fax: 731-668-6882

Dr Divya Lakshmi Indrakanti, MD - Medicare Ophthalmology in Jackson, TN