Dr Praveen K Tamirisa, MD in Burleson, TX - Medicare Internal Medicine

Dr Praveen K Tamirisa, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Burleson, Texas. His current practice location is 11803 South Fwy Ste 115, Burleson, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 293-8441.

Dr Praveen K Tamirisa is licensed to practice in Texas (license number S2912) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679577597.

Contact Information

	Dr Praveen K Tamirisa, MD
	11803 South Fwy Ste 115, Burleson, TX 76028-7028
	(817) 293-8441
	(817) 293-8505

Map and Direction

Physician's Profile

Full Name	Dr Praveen K Tamirisa
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	11803 South Fwy Ste 115, Burleson, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679577597
Provider Enumeration Date: 06/09/2005
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 3779482542
Enrollment ID: I20031231000442

Medical Identifiers

Medical identifiers for Dr Praveen K Tamirisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679577597	NPI	-	NPPES
2258971	Medicaid	OH
P00711902	Other		RRMC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	4301077499 (Michigan)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	35079630T (Ohio)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	4301077499 (Michigan)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	S2912 (Texas)	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 Praveen K Tamirisa allows following entities to bill medicare on his behalf.

Entity Name	The Toledo Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042

Entity Name	Promedica Northwest Ohio Cardiology Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780820555 PECOS PAC ID: 4981752938 Enrollment ID: O20090430000147

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 K Tamirisa 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 K Tamirisa, MD 11803 South Fwy Ste 115, Burleson, TX 76028-7028 Ph: (817) 293-8441	Dr Praveen K Tamirisa, MD 11803 South Fwy Ste 115, Burleson, TX 76028-7028 Ph: (817) 293-8441

Reviews and Comments

Internal Medicine Doctors in Burleson, TX

Timothy Denver Allen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11803 South Fwy Ste 203a, Burleson, TX 76028 Phone: 817-759-9759
Dr. Prakash Hegde, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11803 South Fwy Ste 201, Burleson, TX 76028 Phone: 817-293-4800 Fax: 817-293-4808
Dr. Renjini Rachel Thomas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110
Dr. Andrew Jordan Darwin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 412-656-8215
Wai Lynn Maung, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110
Shirisha Peddi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-568-5955
Dr. Theodore J Lilly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 S.w. Wilshire, Burleson, TX 76028 Phone: 817-447-1208 Fax: 817-447-1106

Dr Praveen K Tamirisa, MD - Medicare Internal Medicine in Burleson, TX