Dr Vishnu Teja Pemmaraju, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Wayne, Michigan. His current practice location is
3106 S Wayne Rd, Wayne, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 722-6300.
Dr Vishnu Teja Pemmaraju is licensed to practice in Michigan (license number 4301510107) 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 1306376173.
Physician's Profile
Full Name | Dr Vishnu Teja Pemmaraju |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 3106 S Wayne Rd, Wayne, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306376173
- Provider Enumeration Date: 06/14/2017
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608145198
- Enrollment ID: I20231005000918
Medical Identifiers
Medical identifiers for Dr Vishnu Teja Pemmaraju such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306376173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301510107 (Michigan) | Secondary |
208C00000X | Colon & Rectal Surgery | 4301510107 (Michigan) | 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 Vishnu Teja Pemmaraju allows following entities to bill medicare on his behalf.
Entity Name | Exclusive Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811226749 PECOS PAC ID: 9335279942 Enrollment ID: O20100608000793 |
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Entity Name | Michigan Healthcare Professionals Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
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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 Vishnu Teja Pemmaraju 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 Vishnu Teja Pemmaraju, MD 3106 S Wayne Rd, Wayne, MI 48184-1221 Ph: (734) 722-6300 | Dr Vishnu Teja Pemmaraju, MD 3106 S Wayne Rd, Wayne, MI 48184-1221 Ph: (734) 722-6300 |
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