Geetha Kolli, MD in Phoenix, AZ - Medicare Internal Medicine

Geetha Kolli, MD is a medicare enrolled "Internal Medicine - Hepatology" physician in Phoenix, Arizona. Her current practice location is 1441 N 12th St, Second Floor, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 521-5800.

Geetha Kolli is licensed to practice in Arizona (license number 37442) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295928109.

Contact Information

	Geetha Kolli, MD
	1441 N 12th St, Second Floor, Phoenix, AZ 85006-2837
	(602) 521-5800
	Not Available

Map and Direction

Physician's Profile

Full Name	Geetha Kolli
Gender	Female
Speciality	Internal Medicine - Hepatology
Location	1441 N 12th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295928109
Provider Enumeration Date: 08/23/2007
Last Update Date: 01/05/2017

Medicare PECOS Information:

PECOS PAC ID: 7214025287
Enrollment ID: I20071109000089

Medical Identifiers

Medical identifiers for Geetha Kolli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295928109	NPI	-	NPPES
37442	Other	AZ	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0008X	Internal Medicine - Hepatology	37442 (Arizona)	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. Geetha Kolli allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952917122 PECOS PAC ID: 4880004183 Enrollment ID: O20210208002193

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. Geetha Kolli 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
Geetha Kolli, MD 1441 N 12th St, Second Floor, Phoenix, AZ 85006 Ph: (602) 521-5800	Geetha Kolli, MD 1441 N 12th St, Second Floor, Phoenix, AZ 85006-2837 Ph: (602) 521-5800

Reviews and Comments

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Geetha Kolli, MD - Medicare Internal Medicine in Phoenix, AZ