Dr Venkata Kr Bodavula, MD | |
5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 | |
(636) 373-9882 | |
Not Available |
Full Name | Dr Venkata Kr Bodavula |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 26 Years |
Location | 5600 Mexico Rd Ste 21, Saint Peters, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275714784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0105X | Surgery - Surgery Of The Hand | 2010007564 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Lincoln | Troy, MO | Hospital |
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Entity Name | Bodavula Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790183077 PECOS PAC ID: 4587983697 Enrollment ID: O20150512000091 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkata Kr Bodavula, MD 3394 Mckelvey Rd Ste 115, Bridgeton, MO 63044-2531 Ph: (636) 373-9882 | Dr Venkata Kr Bodavula, MD 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 Ph: (636) 373-9882 |
Jerad Miller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Jungermann Cir Ste 205, Saint Peters, MO 63376 Phone: 636-916-7100 | |
Dr. Kurt Andrew Piening Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7110 | |
Gordon C Knight, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd Ste 103, Saint Peters, MO 63376 Phone: 314-909-0747 Fax: 844-535-9135 |