Ms Kranthi Nomula, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in St Petersburg, Florida. Her current practice location is
501 6th Ave S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(330) 235-1666.
Ms Kranthi Nomula is licensed to practice in * (Not Available) (license number ) 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 1710508072.
Physician's Profile
Full Name | Ms Kranthi Nomula |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 501 6th Ave S, St Petersburg, Florida |
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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: 1710508072
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022430727
- Enrollment ID: I20200625002974
Medical Identifiers
Medical identifiers for Ms Kranthi Nomula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710508072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME0162797 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ms Kranthi Nomula 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 |
Ms Kranthi Nomula, MD 601 4th St S Ofc, St Petersburg, FL 33701-4801 Ph: () - | Ms Kranthi Nomula, MD 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (330) 235-1666 |
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