Dr Vasudeva M Bommanna, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Nacogdoches, Texas. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
607 Russell Blvd, Suite ' B', Nacogdoches, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 559-7750.
Dr Vasudeva M Bommanna is licensed to practice in Texas (license number K 3685) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477594836.
Physician's Profile
| Full Name | Dr Vasudeva M Bommanna |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 41 Years |
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| Location | 607 Russell Blvd, Nacogdoches, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vasudeva M Bommanna graduated from medical school in 1983
NPI Data:
- NPI Number: 1477594836
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 07/16/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547265068
- Enrollment ID: I20060915000304
Medical Identifiers
Medical identifiers for Dr Vasudeva M Bommanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477594836 | NPI | - | NPPES |
| 612574 | Other | TX | MEDICARE # FOR WEBSTER |
| 0020CF | Other | TX | BLUE CROSS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | K 3685 (Texas) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | K 3685 (Texas) | Primary |
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 Vasudeva M Bommanna 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 Vasudeva M Bommanna, MD
607 Russell Blvd, Suite ' B',
Nacogdoches, TX 75965-1247
Ph: (936) 559-7750 | Dr Vasudeva M Bommanna, MD
607 Russell Blvd, Suite ' B',
Nacogdoches, TX 75965-1247
Ph: (936) 559-7750 |
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