Mydhili Kanumilli, MD in Gonzales, LA - Medicare Internal Medicine

Mydhili Kanumilli, MD is a medicare enrolled "Internal Medicine" physician in Gonzales, Louisiana. Her current practice location is 2647 S Saint Elizabeth Blvd, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 647-8511.

Mydhili Kanumilli is licensed to practice in Louisiana (license number MD207526) 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 1023391620.

Contact Information

	Mydhili Kanumilli, MD
	2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021
	(225) 647-8511
	(225) 644-5213

Map and Direction

Physician's Profile

Full Name	Mydhili Kanumilli
Gender	Female
Speciality	Internal Medicine
Location	2647 S Saint Elizabeth Blvd, Gonzales, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023391620
Provider Enumeration Date: 09/21/2011
Last Update Date: 04/23/2015

Medicare PECOS Information:

PECOS PAC ID: 1557682002
Enrollment ID: I20150609001176

Medical Identifiers

Medical identifiers for Mydhili Kanumilli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023391620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD207526 (Louisiana)	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. Mydhili Kanumilli allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575

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. Mydhili Kanumilli 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
Mydhili Kanumilli, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511	Mydhili Kanumilli, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511

Reviews and Comments

Internal Medicine Doctors in Gonzales, LA

Niksad Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226
Swapna Gayathri Kallu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620
Mason Wade Rau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358
Dr. Gretchen Marie Yandle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213
Dr. Rahil Devendra Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546
Dr. Carlos R Vazquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947

Mydhili Kanumilli, MD - Medicare Internal Medicine in Gonzales, LA