Dr Nithyananda Pakkala, MD | |
630 Nuckolls Rd, Bolivar, TN 38008-1532 | |
(731) 658-6011 | |
(731) 658-9884 |
Full Name | Dr Nithyananda Pakkala |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 56 Years |
Location | 630 Nuckolls Rd, Bolivar, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578558607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD9916 (Tennessee) | Primary |
208600000X | Surgery | MD9916 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bolivar General Hospital | Bolivar, TN | Hospital |
Entity Name | Y N Pakkala Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841555141 PECOS PAC ID: 6002057486 Enrollment ID: O20130726000733 |
Mailing Address | Practice Location Address |
---|---|
Dr Nithyananda Pakkala, MD 630 Nuckolls Rd, Bolivar, TN 38008-1532 Ph: (731) 658-6011 | Dr Nithyananda Pakkala, MD 630 Nuckolls Rd, Bolivar, TN 38008-1532 Ph: (731) 658-6011 |
Dr. Robert Wayne Dunavant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-7111 Fax: 731-658-4328 | |
Dr. John Lee Blankenship, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Dr. Samuel Terry Johnson Jr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Lawrence Diaz, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Olufemi E Soyinka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Elizabeth M Rodriguez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 622 W Market St, Bolivar, TN 38008 Phone: 731-658-2885 Fax: 731-658-2886 |