Kavitha Dheenadayalu, MD is a medicare enrolled "Internal Medicine" physician in Little Valley, New York. Her current practice location is
211 Erie St, Little Valley, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 938-9666.
Kavitha Dheenadayalu is licensed to practice in New York (license number 002148) 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 1710966742.
Physician's Profile
Full Name | Kavitha Dheenadayalu |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 211 Erie St, Little Valley, New York |
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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: 1710966742
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648242396
- Enrollment ID: I20190426002042
Medical Identifiers
Medical identifiers for Kavitha Dheenadayalu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710966742 | NPI | - | NPPES |
02569464 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 002148 (New York) | Primary |
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. Kavitha Dheenadayalu 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 |
Kavitha Dheenadayalu, MD 610 Wayne St, Olean, NY 14760-2355 Ph: (716) 372-1570 | Kavitha Dheenadayalu, MD 211 Erie St, Little Valley, NY 14755-1011 Ph: (716) 938-9666 |
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