Dr Praveena Gorantla, MD in Wichita, KS - Medicare Internal Medicine

Dr Praveena Gorantla, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Wichita, Kansas. Her current practice location is 1921 N Webb Rd, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 612-4815.

Dr Praveena Gorantla is licensed to practice in Kansas (license number 04-33130) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114107182.

Contact Information

	Dr Praveena Gorantla, MD
	1921 N Webb Rd, Wichita, KS 67206-3405
	(316) 612-4815
	(316) 612-4825

Map and Direction

Physician's Profile

Full Name	Dr Praveena Gorantla
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	1921 N Webb Rd, Wichita, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114107182
Provider Enumeration Date: 11/07/2007
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4385710607
Enrollment ID: I20080910000061

Medical Identifiers

Medical identifiers for Dr Praveena Gorantla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114107182	NPI	-	NPPES
200569320A	Medicaid	KS
P01144793	Other		RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	04-33130 (Kansas)	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 Praveena Gorantla allows following entities to bill medicare on her behalf.

Entity Name	Arthritis And Rheumatology Clinics Of Kansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700881646 PECOS PAC ID: 6800881194 Enrollment ID: O20040416000655

Entity Name	William Newton Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548229149 PECOS PAC ID: 5294648937 Enrollment ID: O20050302000638

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 Praveena Gorantla 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 Praveena Gorantla, MD 1921 N Webb Rd, Wichita, KS 67206-3405 Ph: (316) 612-4815	Dr Praveena Gorantla, MD 1921 N Webb Rd, Wichita, KS 67206-3405 Ph: (316) 612-4815

Reviews and Comments

Internal Medicine Doctors in Wichita, KS

Ahmad Qaddour, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N, Suite 310, Wichita, KS 67226 Phone: 316-858-9000 Fax: 316-858-9005
Kathryn Watkins Brickman, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2000 Fax: 303-306-7753
Ray F Fisher, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 818 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-651-2252 Fax: 316-651-2314
Mitchell A Morgan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1131 S Clifton Ave, Suite B, Wichita, KS 67218 Phone: 316-462-1040 Fax: 316-462-1042
Dr. Kent B Murray, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-651-3603 Fax: 316-651-6666
Dr. Raghu C Chaparala, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2160 W 21st St N, Wichita, KS 67203 Phone: 316-267-7175 Fax: 316-425-7799
Layne M Reusser, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9350 E 35th St N, Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-712-9286

Dr Praveena Gorantla, MD - Medicare Internal Medicine in Wichita, KS