Dr Madhavi Latha Kolla, MD in Staten Island, NY

Dr Madhavi Latha Kolla, MD is a medicare enrolled "Internal Medicine" physician in Staten Island, New York. Her current practice location is 55 Four Corners Rd, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (201) 423-4206.

Dr Madhavi Latha Kolla is licensed to practice in New York (license number 249792-1) 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 1366699233.

Contact Information

	Dr Madhavi Latha Kolla, MD
	55 Four Corners Rd, Staten Island, NY 10304-1217
	(201) 423-4206
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Madhavi Latha Kolla
Gender	Female
Speciality	Internal Medicine
Location	55 Four Corners Rd, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366699233
Provider Enumeration Date: 08/22/2008
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5890984199
Enrollment ID: I20110512000010

Medical Identifiers

Medical identifiers for Dr Madhavi Latha Kolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366699233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	249792-1 (New York)	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 Madhavi Latha Kolla allows following entities to bill medicare on her behalf.

Entity Name	Amboy Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024

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 Madhavi Latha Kolla 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 Madhavi Latha Kolla, MD 55 Four Corners Rd, Staten Island, NY 10304-1217 Ph: (201) 423-4206	Dr Madhavi Latha Kolla, MD 55 Four Corners Rd, Staten Island, NY 10304-1217 Ph: (201) 423-4206

Reviews and Comments

Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308 Phone: 718-226-7855 Fax: 718-227-5814
Deepak Vadada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611
Dr. Samantha Maria Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9510 Fax: 718-226-3473
Dr. Jean Chalhoub, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305 Phone: 718-226-8855
Dr. Gustave Stephen Drivas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961
Dr. Beatrice Nogueira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6902 Fax: 718-226-6844
Dr. Felicia Tenedios, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314 Phone: 718-447-0055 Fax: 718-876-5212

Dr Madhavi Latha Kolla, MD - Medicare Internal Medicine in Staten Island, NY