Dr Veena V Gonuguntla, MD is a medicare enrolled "Pediatrics" physician in Hartland, Wisconsin. Her current practice location is
600 Walnut Ridge Dr, Hartland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 369-7040.
Dr Veena V Gonuguntla is licensed to practice in Wisconsin (license number 52522-20) 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 1598959967.
Physician's Profile
Full Name | Dr Veena V Gonuguntla |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 600 Walnut Ridge Dr, Hartland, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598959967
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062608839
- Enrollment ID: I20101119000434
Medical Identifiers
Medical identifiers for Dr Veena V Gonuguntla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598959967 | NPI | - | NPPES |
1598959967 | Medicaid | WI | |
GONUGVEE | Other | WI | MERCYCARE INSURANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 52522-20 (Wisconsin) | 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 Veena V Gonuguntla allows following entities to bill medicare on her behalf.
Entity Name | Aurora Medical Group, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
---|
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 Veena V Gonuguntla 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 Veena V Gonuguntla, MD 600 Walnut Ridge Dr, Hartland, WI 53029-9385 Ph: (262) 369-7040 | Dr Veena V Gonuguntla, MD 600 Walnut Ridge Dr, Hartland, WI 53029-9385 Ph: (262) 369-7040 |
Reviews and Comments