Dr Penchala Swamy Mittadodla, MD | |
2708 S Rife Medical Ln, Ste 200, Rogers, AR 72758-1452 | |
(479) 338-3080 | |
(479) 338-3089 |
Full Name | Dr Penchala Swamy Mittadodla |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 22 Years |
Location | 2708 S Rife Medical Ln, Rogers, Arkansas |
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 |
---|---|---|---|
1720219397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | E-8192 (Arkansas) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | E-8192 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
Mercy Hospital Berryville | Berryville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Northwest Arkansas Communities | 0648177873 | 269 |
Entity Name | Mercy Health Northwest Arkansas Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
Entity Name | Mercy Hospital Berryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
Mailing Address | Practice Location Address |
---|---|
Dr Penchala Swamy Mittadodla, MD 2708 S Rife Medical Ln, Ste 200, Rogers, AR 72758-1452 Ph: (479) 338-3080 | Dr Penchala Swamy Mittadodla, MD 2708 S Rife Medical Ln, Ste 200, Rogers, AR 72758-1452 Ph: (479) 338-3080 |
Adam Angel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3750 | |
Dr. Anthony Dolomisiewicz, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3722 Fax: 479-338-3724 | |
William G Swindell, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd Street, Rogers, AR 72758 Phone: 479-338-3750 Fax: 479-338-3799 | |
Dr. Daniel S Bradford, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 808 S 52nd St, Rogers, AR 72758 Phone: 479-936-9900 Fax: 479-587-1366 | |
Dr. Walton Cheng Toy, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1002 S 52nd Street, Rogers, AR 72758 Phone: 479-338-3720 Fax: 479-338-3749 | |
Dr. Ruben Tejada, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5212 Village Pkwy, Suite 9, Rogers, AR 72758 Phone: 479-876-8460 Fax: 479-876-8470 | |
Dr. James Parks Tullis, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1002 S 52nd St, Rogers, AR 72758 Phone: 479-338-3750 Fax: 479-338-3799 |