Praveen Venigalla, in Lafayette, IN - Medicare Internal Medicine

Praveen Venigalla, is a medicare enrolled "Internal Medicine" physician in Lafayette, Indiana. His current practice location is 3900 St Francis Way Ste 200, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 775-2800.

Praveen Venigalla is licensed to practice in Indiana (license number 01092317A) 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 1528352598.

Contact Information

	Praveen Venigalla,
	3900 St Francis Way Ste 200, Lafayette, IN 47905-4940
	(765) 775-2800
	(765) 775-2831

Map and Direction

Physician's Profile

Full Name	Praveen Venigalla
Gender	Male
Speciality	Internal Medicine
Location	3900 St Francis Way Ste 200, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528352598
Provider Enumeration Date: 06/07/2011
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6103125232
Enrollment ID: I20160425000966

Medical Identifiers

Medical identifiers for Praveen Venigalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528352598	NPI	-	NPPES
NC3370	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2017-00547 (North Carolina)	Secondary
208M00000X	Hospitalist	52426 (South Carolina)	Secondary
207R00000X	Internal Medicine	01092317A (Indiana)	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. Praveen Venigalla allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

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. Praveen Venigalla 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
Praveen Venigalla, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Praveen Venigalla, 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 Ph: (765) 775-2800

Reviews and Comments

Internal Medicine Doctors in Lafayette, IN

Michelle B Herberts, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564
Dr. Carlos Salazar Carcamo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444
Maria L Srour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631
Steven Rudolf Steinhubl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333
Michael Leo Hogan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831
Carlos A Gambirazio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624
Dr. Christopher Patrick Kaup, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698

Praveen Venigalla, - Medicare Internal Medicine in Lafayette, IN