Dr Praveen Chowdary Kanneganti, MD is a medicare enrolled "Internal Medicine" physician in Helena, Arkansas. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Physician Services Pc, Sutter Valley Medical Foundation and his current practice location is
1801 Martin Luther King Jr Dr, Helena, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 816-3845.
Dr Praveen Chowdary Kanneganti is licensed to practice in Arkansas (license number E7612) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710116801.
Physician's Profile
Full Name | Dr Praveen Chowdary Kanneganti |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 17 Years |
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Location | 1801 Martin Luther King Jr Dr, Helena, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Praveen Chowdary Kanneganti graduated from medical school in 2007
NPI Data:
- NPI Number: 1710116801
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 01/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 0143486811
- Enrollment ID: I20150815000003
Medical Identifiers
Medical identifiers for Dr Praveen Chowdary Kanneganti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710116801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125.057019 (Illinois) | Secondary |
207R00000X | Internal Medicine | E7612 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southeastern Physician Services Pc | 0042307852 | 499 |
Sutter Valley Medical Foundation | 9830094515 | 1919 |
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 Praveen Chowdary Kanneganti allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
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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 Praveen Chowdary Kanneganti 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 Praveen Chowdary Kanneganti, MD 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 Ph: (773) 580-2071 | Dr Praveen Chowdary Kanneganti, MD 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 Ph: (870) 816-3845 |
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