Madhavi Reddy Mandala, MD | |
202 N Division St Ste 301, Auburn, WA 98001-4939 | |
(253) 833-7256 | |
Not Available |
Full Name | Madhavi Reddy Mandala |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 202 N Division St Ste 301, Auburn, Washington |
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 |
---|---|---|---|
1134232168 | NPI | - | NPPES |
CA1439 | Other | IL | RR GROUP NUMBER |
P00406649 | Other | IL | RR MEDICARE NUMBER |
CE9335 | Other | IL | RR GROUP NUMBER |
P00393076 | Other | IL | RR MEDICARE |
036114994 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036114994 (Illinois) | Secondary |
207R00000X | Internal Medicine | MD60253695 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Overlake Hospital Medical Center | Bellevue, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Overlake Medical Clinics Llc | 7012808827 | 348 |
Entity Name | Overlake Medical Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
Mailing Address | Practice Location Address |
---|---|
Madhavi Reddy Mandala, MD 202 N Division St Ste 301, Auburn, WA 98001-4939 Ph: (253) 833-7256 | Madhavi Reddy Mandala, MD 202 N Division St Ste 301, Auburn, WA 98001-4939 Ph: (253) 833-7256 |
Eduardo Gil De Rubio, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711 | |
Dr. Robert Todd Middleton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Ste 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-1211 | |
Abdul R Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 301, Auburn, WA 98001 Phone: 253-288-3040 | |
Dr. Krystoff J. Godlewski, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 Fax: 253-735-6479 | |
Iliana Domenica Micali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 2nd St Se, Ste 100, Auburn, WA 98002 Phone: 253-333-8646 | |
Dr. James Martin Wagner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Plaza 2 Suite 201, Auburn, WA 98001 Phone: 253-939-1230 |