Gangadhar Madupu, MD in Rome, NY - Medicare Psychiatry & Neurology

Gangadhar Madupu, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Rome, New York. His current practice location is 1617 N James St, Rome, New York. You can reach out to his office (for appointments etc.) via phone at (315) 533-1025.

Gangadhar Madupu is licensed to practice in New York (license number 216519) 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 1114017969.

Contact Information

	Gangadhar Madupu, MD
	1617 N James St, Rome, NY 13440-2852
	(315) 533-1025
	(315) 533-1006

Map and Direction

Physician's Profile

Full Name	Gangadhar Madupu
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	1617 N James St, Rome, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114017969
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971580747
Enrollment ID: I20191223000351

Medical Identifiers

Medical identifiers for Gangadhar Madupu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114017969	NPI	-	NPPES
10049766	Other		CDPHP
3099103	Other		GHI
13625	Other	NY	MVP
02112967	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	216519 (New York)	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. Gangadhar Madupu allows following entities to bill medicare on his behalf.

Entity Name	Gm Neurologic Health Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255052668 PECOS PAC ID: 0042686016 Enrollment ID: O20221017000041

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. Gangadhar Madupu 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
Gangadhar Madupu, MD 1617 N James St, Rome, NY 13440-2852 Ph: (315) 533-1025	Gangadhar Madupu, MD 1617 N James St, Rome, NY 13440-2852 Ph: (315) 533-1025

Reviews and Comments

Psychiatry & Neurology Doctors in Rome, NY

Dr. Ronald Thesee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 195 - 199 W. Dominick St., Rome, NY 13440 Phone: 315-272-2730 Fax: 315-337-0675
Dr. Florica Ochotorena-acosta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 117 West Liberty St, Rome, NY 13440 Phone: 315-337-2582 Fax: 315-337-2580
Dr. Arunadevi Surasani Reddy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 125 Brookley Rd, Rome, NY 13441 Phone: 315-334-7110
Dr. Steven Mark Fogelman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Cypress St, Rome, NY 13440 Phone: 315-339-6536 Fax: 315-339-8089
Glady Jacob, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Avery Ln Ste 300, Rome, NY 13441 Phone: 315-356-7390 Fax: 315-356-7393
Ananadavalli Menon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 195-199 W. Dominick St., Rome, NY 13440 Phone: 315-272-2730 Fax: 315-337-0675

Gangadhar Madupu, MD - Medicare Psychiatry & Neurology in Rome, NY