Latha Sree Vellanki, MD | |
1 Medical Park Dr, Helena, MT 59601-8022 | |
(406) 443-7200 | |
(406) 443-7201 |
Full Name | Latha Sree Vellanki |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 33 Years |
Location | 1 Medical Park Dr, Helena, Montana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346332640 | NPI | - | NPPES |
0052700 | Medicaid | MT | |
070017373 | Other | MT | RAILROAD MEDICARE |
000092195 | Other | MT | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 8071 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Peters Hospital | Helena, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Of Montana, Pllc | 9537593710 | 10 |
Entity Name | Epiphany Dermatology Of Montana, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902455074 PECOS PAC ID: 9537593710 Enrollment ID: O20191220001305 |
Mailing Address | Practice Location Address |
---|---|
Latha Sree Vellanki, MD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Latha Sree Vellanki, MD 1 Medical Park Dr, Helena, MT 59601-8022 Ph: (406) 443-7200 |
Ms. Debra J Remillard, PAC Dermatology Medicare: Medicare Enrolled Practice Location: 50 South Last Chance Gulch, Ste 3, Helena, MT 59601 Phone: 406-442-3534 Fax: 406-442-2064 | |
Dr. Stephen D Behlmer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 50 South Last Chance Gulch, Ste 3, Helena, MT 59601 Phone: 406-442-3534 Fax: 406-442-2064 | |
Byron David Baldridge, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr # 201b, Helena, MT 59601 Phone: 406-443-7200 Fax: 406-443-7201 | |
Logan Skelley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 40 W 14th St Ste 3, Helena, MT 59601 Phone: 406-272-5941 | |
Dr. Jeffry Andrew Goldes, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 South Last Chance Gulch, Ste 3, Helena, MT 59601 Phone: 406-442-3534 Fax: 406-442-2064 |