Dr Kalyani Medicherla Kumar, MD - Medicare Obstetrics & Gynecology in Sparta, TN

Dr Kalyani Medicherla Kumar, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Sparta, Tennessee. Her current practice location is 411 Sewell Dr, Sparta, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 738-9140.

Dr Kalyani Medicherla Kumar is licensed to practice in Tennessee (license number 6406379) 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 1396987491.

Contact Information

Dr Kalyani Medicherla Kumar, MD
411 Sewell Dr,
Sparta, TN 38583-1223
(931) 738-9140
(931) 738-9142

Map and Direction




Physician's Profile

Full NameDr Kalyani Medicherla Kumar
GenderFemale
SpecialityObstetrics & Gynecology - Gynecology
Location411 Sewell Dr, Sparta, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396987491
  • Provider Enumeration Date: 04/03/2009
  • Last Update Date: 12/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4486703675
  • Enrollment ID: I20090518000616

Medical Identifiers

Medical identifiers for Dr Kalyani Medicherla Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396987491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 6406379 (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 Kalyani Medicherla Kumar allows following entities to bill medicare on her behalf.
Entity NameSaint Thomas Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470

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 Kalyani Medicherla Kumar 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 Kalyani Medicherla Kumar, MD
421 Sewell Dr,
Sparta, TN 38583-1223

Ph: (931) 738-4395
Dr Kalyani Medicherla Kumar, MD
411 Sewell Dr,
Sparta, TN 38583-1223

Ph: (931) 738-9140

Reviews and Comments


Obstetrics & Gynecology Doctors in Sparta, TN


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.