Dr Vijay Kumar Kannam, MD - Medicare Family Medicine in Gravette, AR

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Dr Vijay Kumar Kannam, MD is a medicare enrolled "Family Medicine" physician in Gravette, Arkansas. His current practice location is 1101 Jackson St Sw, Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 787-5221.

Dr Vijay Kumar Kannam is licensed to practice in Arkansas (license number E-9316) 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 1699039610.

Contact Information

Dr Vijay Kumar Kannam, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
(479) 787-5221
(479) 787-5613

Map and Direction




Physician's Profile

Full NameDr Vijay Kumar Kannam
GenderMale
SpecialityFamily Medicine
Location1101 Jackson St Sw, Gravette, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699039610
  • Provider Enumeration Date: 06/25/2012
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799080982
  • Enrollment ID: I20160225002279

Medical Identifiers

Medical identifiers for Dr Vijay Kumar Kannam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699039610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E-9316 (Arkansas)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 Vijay Kumar Kannam allows following entities to bill medicare on his behalf.
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20081016000559
Entity NameFort Smith Hma Pbc Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477888907
PECOS PAC ID: 8224172127
Enrollment ID: O20100216000383
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20190905000100

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 Vijay Kumar Kannam 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 Vijay Kumar Kannam, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121

Ph: (479) 787-5221		Dr Vijay Kumar Kannam, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121

Ph: (479) 787-5221

Reviews and Comments


Family Medicine Doctors in Gravette, AR

Dr. David John Tucker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613
Dr. Nancy L Jones, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613
Rayetta Eaton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5291    Fax: 479-344-6404
Dr. William Frank Webb, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613
Dr. Kenneth Marcus Poemoceah, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1102 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.