Madan Mohan Reddy Koppolu, MD in Monroe, LA - Medicare Internal Medicine

Madan Mohan Reddy Koppolu, MD is a medicare enrolled "Internal Medicine" physician in Monroe, Louisiana. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 309 Jackson St, Monroe, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 966-4000.

Madan Mohan Reddy Koppolu is licensed to practice in Tennessee (license number 51854) 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 1700033032.

Contact Information

	Madan Mohan Reddy Koppolu, MD
	309 Jackson St, Monroe, LA 71201-7407
	(318) 966-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Madan Mohan Reddy Koppolu
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	309 Jackson St, Monroe, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Madan Mohan Reddy Koppolu graduated from medical school in 2005

NPI Data:

NPI Number: 1700033032
Provider Enumeration Date: 08/18/2008
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6305017385
Enrollment ID: I20150313000850

Medical Identifiers

Medical identifiers for Madan Mohan Reddy Koppolu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700033032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD204817 (Louisiana)	Secondary
207R00000X	Internal Medicine	51854 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	499

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. Madan Mohan Reddy Koppolu allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673

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. Madan Mohan Reddy Koppolu 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
Madan Mohan Reddy Koppolu, MD 8312 Misty Creek Dr, Germantown, TN 38138-7604 Ph: (520) 906-7591	Madan Mohan Reddy Koppolu, MD 309 Jackson St, Monroe, LA 71201-7407 Ph: (318) 966-4000

Reviews and Comments

Internal Medicine Doctors in Monroe, LA

Arthur Eldridge Richert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205
Richard Van Vines Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Road, Suite A, Monroe, LA 71201 Phone: 318-329-9202 Fax: 318-329-9202
James Thomas Rittelmeyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 N 18th St Ste 100, Monroe, LA 71201 Phone: 318-361-9900 Fax: 318-361-0428
Mr. Praneet Sivaramakrishnan Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000
Dr. Charles Ujay Gbadouwey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543
Kelvin C Wade, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Hall St Ste A, Monroe, LA 71201 Phone: 318-324-9113 Fax: 318-329-9382
Dr. Nkeekam O Anumele, M.D., PHARM D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Wood St, Ste A, Monroe, LA 71201 Phone: 318-323-8847 Fax: 318-327-3410

Madan Mohan Reddy Koppolu, MD - Medicare Internal Medicine in Monroe, LA