Dr Sasi Kiran Penukonda, MD in Shreveport, LA

Dr Sasi Kiran Penukonda, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Shreveport, Louisiana. His current practice location is 2032 Elizabeth Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 698-0035.

Dr Sasi Kiran Penukonda is licensed to practice in Louisiana (license number 325077) 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 1811220957.

Contact Information

	Dr Sasi Kiran Penukonda, MD
	2032 Elizabeth Ave, Shreveport, LA 71104-2123
	(318) 698-0035
	(318) 698-0078

Map and Direction

Physician's Profile

Full Name	Dr Sasi Kiran Penukonda
Gender	Male
Speciality	Pediatrics - Pediatric Endocrinology
Location	2032 Elizabeth Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811220957
Provider Enumeration Date: 09/08/2009
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3870812035
Enrollment ID: I20150805006499

Medical Identifiers

Medical identifiers for Dr Sasi Kiran Penukonda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811220957	NPI	-	NPPES
110103822A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	261269 (Massachusetts)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	325077 (Louisiana)	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 Sasi Kiran Penukonda allows following entities to bill medicare on his behalf.

Entity Name	Riverbend Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841651197 PECOS PAC ID: 5698064343 Enrollment ID: O20160614001710

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 Sasi Kiran Penukonda 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 Sasi Kiran Penukonda, MD 2032 Elizabeth Ave, Shreveport, LA 71104-2123 Ph: (318) 698-0035	Dr Sasi Kiran Penukonda, MD 2032 Elizabeth Ave, Shreveport, LA 71104-2123 Ph: (318) 698-0035

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Dr Sasi Kiran Penukonda, MD - Medicare Pediatrics in Shreveport, LA