Dr Jaya Raghu Teja Teja Gadivemula, MD in Detroit, MI

Dr Jaya Raghu Teja Teja Gadivemula, MD is a medicare enrolled "Internal Medicine" physician in Detroit, Michigan. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Coolidge Physician Services Llc, Southwest Louisiana Physicians, Llc, Main Street Physician Services Llc and his current practice location is 4201 St. Antoine, Ste 2e, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-4525.

Dr Jaya Raghu Teja Teja Gadivemula is licensed to practice in Louisiana (license number 321436) 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 1639551039.

Contact Information

	Dr Jaya Raghu Teja Teja Gadivemula, MD
	4201 St. Antoine, Ste 2e, Detroit, MI 48201
	(313) 745-4525
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jaya Raghu Teja Teja Gadivemula
Gender	Male
Speciality	Internal Medicine
Experience	17 Years
Location	4201 St. Antoine, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jaya Raghu Teja Teja Gadivemula graduated from medical school in 2007

NPI Data:

NPI Number: 1639551039
Provider Enumeration Date: 06/22/2015
Last Update Date: 12/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2961837679
Enrollment ID: I20200127000271

Medical Identifiers

Medical identifiers for Dr Jaya Raghu Teja Teja Gadivemula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639551039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	321436 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lafayette General Medical Center	Lafayette, LA	Hospital
Christus Ochsner St Patrick Hospital	Lake charles, LA	Hospital
Iberia Medical Center	New iberia, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coolidge Physician Services Llc	7113156035	31
Southwest Louisiana Physicians, Llc	7315396355	10
Main Street Physician Services Llc	8022331909	17

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 Jaya Raghu Teja Teja Gadivemula allows following entities to bill medicare on his behalf.

Entity Name	Ambassador Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134237068 PECOS PAC ID: 7810099090 Enrollment ID: O20070219000160

Entity Name	Coolidge Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609298843 PECOS PAC ID: 7113156035 Enrollment ID: O20140218001309

Entity Name	Main Street Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749

Entity Name	Central Louisiana Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308

Entity Name	Southwest Louisiana Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972384139 PECOS PAC ID: 7315396355 Enrollment ID: O20231215000905

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 Jaya Raghu Teja Teja Gadivemula 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 Jaya Raghu Teja Teja Gadivemula, MD 4201 St. Antoine, Ste 2e, Detroit, MI 48201 Ph: (313) 745-4525	Dr Jaya Raghu Teja Teja Gadivemula, MD 4201 St. Antoine, Ste 2e, Detroit, MI 48201 Ph: (313) 745-4525

Reviews and Comments

Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 E Canfield St, Detroit, MI 48201 Phone: 313-745-4525
Dr. Roopkiranjot Kahlon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201 Phone: 313-745-4525
Avi Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Waleed Obaid, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3250
Lindsey Aurora, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Alexander Garbarino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Maria Diab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305

Dr Jaya Raghu Teja Teja Gadivemula, MD - Medicare Internal Medicine in Detroit, MI