Dr Venkata R Dharbhamulla, MD - Medicare Pediatric Medicine in Johnstown, PA

Dr Venkata R Dharbhamulla, MD is a medicare enrolled "Pediatrics" physician in Johnstown, Pennsylvania. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Pediatric Care Specialists and his current practice location is 1322 Eisenhower Blvd, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 536-8969.

Dr Venkata R Dharbhamulla is licensed to practice in Pennsylvania (license number MD058564L) 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 1033272513.

Contact Information

Dr Venkata R Dharbhamulla, MD
1322 Eisenhower Blvd,
Johnstown, PA 15904-3307
(814) 536-8969
(814) 536-7180

Map and Direction




Physician's Profile

Full NameDr Venkata R Dharbhamulla
GenderMale
SpecialityPediatric Medicine
Experience39 Years
Location1322 Eisenhower Blvd, Johnstown, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Venkata R Dharbhamulla graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1033272513
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 08/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0840464921
  • Enrollment ID: I20210707002163

Medical Identifiers

Medical identifiers for Dr Venkata R Dharbhamulla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033272513NPI-NPPES
1007708200001MedicaidPA
0016452420001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD058564L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pediatric Care Specialists95373336046

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 Venkata R Dharbhamulla allows following entities to bill medicare on his behalf.
Entity NamePediatric Care Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346236833
PECOS PAC ID: 9537333604
Enrollment ID: O20111130000082

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 Venkata R Dharbhamulla 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 AddressPractice Location Address
Dr Venkata R Dharbhamulla, MD
1322 Eisenhower Blvd,
Johnstown, PA 15904-3307

Ph: (814) 536-8969
Dr Venkata R Dharbhamulla, MD
1322 Eisenhower Blvd,
Johnstown, PA 15904-3307

Ph: (814) 536-8969

Reviews and Comments


Pediatrics Doctors in Johnstown, PA

Ms. Linsey Joy Donoughe, PA-C
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9794    Fax: 814-534-3479
Johnnie Wilson Barto, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 323 Budfield St, Johnstown, PA 15904
Phone: 814-262-9500    Fax: 814-262-7303
Karl Berger, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1141 Franklin St, Franklin Street Pediatrics, Johnstown, PA 15905
Phone: 814-536-8956    Fax: 814-539-6601
Stephanie Ann Porter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 323 Budfield St, Johnstown, PA 15904
Phone: 814-262-9500    Fax: 814-262-9142
Michelle R Sredy, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-266-8840    Fax: 814-266-2176
Dr. Bradley Russell Drennen, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-266-8840    Fax: 814-266-2176

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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