Dr Sailaja Tummala, MD | |
755 Cowan Drive, Lebanon, MO 65536 | |
(417) 532-2805 | |
(417) 532-2865 |
Full Name | Dr Sailaja Tummala |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 755 Cowan Drive, Lebanon, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174690630 | NPI | - | NPPES |
35322100 | Medicaid | WI | |
206520504 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2011022971 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Health System | Osage beach, MO | Hospital |
Mercy Hospital Lebanon | Lebanon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Regional Health System | 9133026776 | 80 |
Entity Name | Lake Regional Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Sailaja Tummala, MD 1622 W Caleb Ct, Springfield, MO 65810-1525 Ph: () - | Dr Sailaja Tummala, MD 755 Cowan Drive, Lebanon, MO 65536 Ph: (417) 532-2805 |
Rosana Mendoza Lim-javate, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 341 Hospital Dr., Family Health Associates, P.c., Lebanon, MO 65536 Phone: 417-588-3918 | |
Dr. John C. Tabb, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 | |
Jolene Ann Ostwinkle, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 341 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-7850 Fax: 417-532-2451 | |
Dr. Jennifer S. Powell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Philip V. Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Mary A Kurek, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |