Goutham Mandadi, MD is a medicare enrolled "Hospitalist" physician in Wytheville, Virginia. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Emergency Medicine Associates Pa Pc and his current practice location is
600 W Ridge Rd, Wytheville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 228-0200.
Goutham Mandadi is licensed to practice in Virginia (license number 0101246730) 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 1528380243.
Physician's Profile
| Full Name | Goutham Mandadi |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 600 W Ridge Rd, Wytheville, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Goutham Mandadi graduated from medical school in 2001
NPI Data:
- NPI Number: 1528380243
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 04/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436288214
- Enrollment ID: I20100604000131
Medical Identifiers
Medical identifiers for Goutham Mandadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528380243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 0101246730 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergency Medicine Associates Pa Pc | 8022914522 | 383 |
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. Goutham Mandadi allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Associates Pa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283 |
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| Entity Name | Alexandria Springfield Emergency Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740529700
PECOS PAC ID: 1052558954
Enrollment ID: O20200115002186 |
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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. Goutham Mandadi 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 |
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Goutham Mandadi, MD
600 W Ridge Rd,
Wytheville, VA 24382-1044
Ph: () - | Goutham Mandadi, MD
600 W Ridge Rd,
Wytheville, VA 24382-1044
Ph: (276) 228-0200 |
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