Narayana Rao Adusumilli, MD is a medicare enrolled "Internal Medicine" physician in Fulton, Missouri. His current practice location is
600 East 5th Street, Fulton State Hospital, Fulton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 592-4100.
Narayana Rao Adusumilli is licensed to practice in Missouri (license number MDR4B31) 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 1891706115.
Physician's Profile
| Full Name | Narayana Rao Adusumilli |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 600 East 5th Street, Fulton, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891706115
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 08/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 1052663838
- Enrollment ID: I20181004002951
Medical Identifiers
Medical identifiers for Narayana Rao Adusumilli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891706115 | NPI | - | NPPES |
| 201541026 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MDR4B31 (Missouri) | 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. Narayana Rao Adusumilli allows following entities to bill medicare on his behalf.
| Entity Name | State Of Missouri |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164477873
PECOS PAC ID: 1456254226
Enrollment ID: O20040129000481 |
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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. Narayana Rao Adusumilli 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 |
|---|
Narayana Rao Adusumilli, MD
600 East 5th Street,
Fulton, MO 65251
Ph: (573) 592-4100 | Narayana Rao Adusumilli, MD
600 East 5th Street, Fulton State Hospital,
Fulton, MO 65251
Ph: (573) 592-4100 |
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