Mr Jagan Annabathula, MD is a medicare enrolled "Internal Medicine" physician in Grethel, Kentucky. His current practice location is
7629 Ky Route 979, Grethel, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 587-2200.
Mr Jagan Annabathula is licensed to practice in Kentucky (license number 33239) 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 1922090190.
Physician's Profile
Full Name | Mr Jagan Annabathula |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 7629 Ky Route 979, Grethel, Kentucky |
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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: 1922090190
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0749210821
- Enrollment ID: I20140612001517
Medical Identifiers
Medical identifiers for Mr Jagan Annabathula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922090190 | NPI | - | NPPES |
64018427 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 33239 (Kentucky) | Primary |
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 Jagan Annabathula 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 Jagan Annabathula, MD 1709 Ky Route 321, Ste 3, Prestonsburg, KY 41653-9101 Ph: (606) 886-8546 | Mr Jagan Annabathula, MD 7629 Ky Route 979, Grethel, KY 41631-6304 Ph: (606) 587-2200 |
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