Mr Anjaneyulu Kosaraju, MD is a medicare enrolled "Family Medicine" physician in Camp Verde, Arizona. His current practice location is
1298 W Finnie Flat Rd, Camp Verde, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 639-5555.
Mr Anjaneyulu Kosaraju is licensed to practice in Arizona (license number 73325) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255904900.
Physician's Profile
Full Name | Mr Anjaneyulu Kosaraju |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1298 W Finnie Flat Rd, Camp Verde, Arizona |
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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: 1255904900
- Provider Enumeration Date: 07/21/2021
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608317102
- Enrollment ID: I20240924004136
Medical Identifiers
Medical identifiers for Mr Anjaneyulu Kosaraju such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255904900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 73325 (Arizona) | 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. Mr Anjaneyulu Kosaraju allows following entities to bill medicare on his behalf.
Entity Name | Northern Arizona Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
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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. Mr Anjaneyulu Kosaraju 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 |
Mr Anjaneyulu Kosaraju, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Mr Anjaneyulu Kosaraju, MD 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 Ph: (928) 639-5555 |
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