Dr Prashanthi Bora Koduri, MD in Suffolk, VA

Dr Prashanthi Bora Koduri, MD is a medicare enrolled "Family Medicine" physician in Suffolk, Virginia. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sentara Medical Group and her current practice location is 3920 Bridge Rd, Bldg A, Ste. 207, Suffolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 983-2200.

Dr Prashanthi Bora Koduri is licensed to practice in Virginia (license number 101229036) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891744603.

Contact Information

	Dr Prashanthi Bora Koduri, MD
	3920 Bridge Rd, Bldg A, Ste. 207, Suffolk, VA 23435-1117
	(757) 983-2200
	(757) 923-2201

Map and Direction

Physician's Profile

Full Name	Dr Prashanthi Bora Koduri
Gender	Female
Speciality	Family Practice
Experience	37 Years
Location	3920 Bridge Rd, Suffolk, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Prashanthi Bora Koduri graduated from medical school in 1987

NPI Data:

NPI Number: 1891744603
Provider Enumeration Date: 05/09/2006
Last Update Date: 12/06/2019

Medicare PECOS Information:

PECOS PAC ID: 7911905468
Enrollment ID: I20061117000359

Medical Identifiers

Medical identifiers for Dr Prashanthi Bora Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891744603	NPI	-	NPPES
10048061	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	101229036 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Obici Hospital	Suffolk, VA	Hospital
Bon Secours Maryview Medical Center	Portsmouth, VA	Hospital
Sentara Norfolk General Hospital	Norfolk, VA	Hospital
Sentara Leigh Hospital	Norfolk, VA	Hospital
Sentara Virginia Beach General Hospital	Virginia beach, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sentara Medical Group	8921903923	1091

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 Prashanthi Bora Koduri allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

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 Prashanthi Bora Koduri 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 Prashanthi Bora Koduri, MD 3920 Bridge Rd, Bldg A, Ste. 207, Suffolk, VA 23435-1117 Ph: (757) 983-2200	Dr Prashanthi Bora Koduri, MD 3920 Bridge Rd, Bldg A, Ste. 207, Suffolk, VA 23435-1117 Ph: (757) 983-2200

Reviews and Comments

Family Medicine Doctors in Suffolk, VA

Dr. Quan Vu Hong Dao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 148 Burnetts Way Ste 107, Suffolk, VA 23434 Phone: 757-738-1375
Mokhtar O Morgan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038
Linda Kay Frey, N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2019 Meade Pkwy, Suffolk, VA 23434 Phone: 757-923-1060 Fax: 757-923-1068
Margie Pantangco Pascual, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 Phone: 757-673-5890 Fax: 757-673-5946
James Bauss Harding, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2760 Godwin Blvd Ste 100, Suffolk, VA 23434 Phone: 757-983-8650
Jessica Lynne Bernens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5833 Harbour View Blvd Ste B, Suffolk, VA 23435 Phone: 757-337-4018 Fax: 757-337-4019
Dr. Jessica Anne Mason, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7185 Harbour Towne Pkwy S Ste 206, Suffolk, VA 23435 Phone: 757-484-5828 Fax: 757-484-4371

Dr Prashanthi Bora Koduri, MD - Medicare Family Practice in Suffolk, VA