Manjula Mudduluru, MD in Odessa, TX

Manjula Mudduluru, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Odessa, Texas. Her current practice location is 701 W 5th St, Odessa, Texas. You can reach out to her office (for appointments etc.) via phone at (432) 703-5310.

Manjula Mudduluru is licensed to practice in Texas (license number Q3243) 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 1184741852.

Contact Information

	Manjula Mudduluru, MD
	701 W 5th St, Odessa, TX 79763
	(432) 703-5310
	(432) 335-5354

Map and Direction

Physician's Profile

Full Name	Manjula Mudduluru
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	701 W 5th St, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184741852
Provider Enumeration Date: 03/26/2007
Last Update Date: 06/14/2018

Medicare PECOS Information:

PECOS PAC ID: 9335294974
Enrollment ID: I20150522000600

Medical Identifiers

Medical identifiers for Manjula Mudduluru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184741852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	Q3243 (Texas)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	Q3243 (Texas)	Primary

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. Manjula Mudduluru allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Manjula Mudduluru 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
Manjula Mudduluru, MD 701 W 5th St Ste 3142, Odessa, TX 79763-4206 Ph: (432) 703-5310	Manjula Mudduluru, MD 701 W 5th St, Odessa, TX 79763 Ph: (432) 703-5310

Reviews and Comments

Pediatrics Doctors in Odessa, TX

Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797
Randa N. A Othman, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807
Dr. Venkataramana P. Garikiparthy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5150
Dr. Raul Chavez Valdez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5270

Manjula Mudduluru, MD - Medicare Pediatrics in Odessa, TX