Pavana Naga Gopi Krishna Tirumanisetti, MD | |
1601 W 40th Ave, Pine Bluff, AR 71603-6069 | |
(870) 541-6000 | |
(870) 541-6009 |
Full Name | Pavana Naga Gopi Krishna Tirumanisetti |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1601 W 40th Ave, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083920086 | NPI | - | NPPES |
2118013 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 206188 (Louisiana) | Secondary |
208M00000X | Hospitalist | 206188 (Louisiana) | Secondary |
207Q00000X | Family Medicine | E-13165 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
Ashley County Medical Center | Crossett, AR | Hospital |
Uams Medical Center | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Arkansas | 4082528955 | 1098 |
Ess Hospitalist Llc | 6103085295 | 17 |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750375895 PECOS PAC ID: 4082528955 Enrollment ID: O20031114000421 |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144120 PECOS PAC ID: 4082528955 Enrollment ID: O20040709000013 |
Entity Name | Arkansas Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
Mailing Address | Practice Location Address |
---|---|
Pavana Naga Gopi Krishna Tirumanisetti, MD 4021 W 8th St, Little Rock, AR 72204-2029 Ph: (501) 686-5021 | Pavana Naga Gopi Krishna Tirumanisetti, MD 1601 W 40th Ave, Pine Bluff, AR 71603-6069 Ph: (870) 541-6000 |
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516 | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594 | |
Dr. Sree Chellappan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010 | |
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Dr. Tracey Albertha Lockhart Wright, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-540-6000 Fax: 870-541-6010 |