Pradeep Kumar Vaitla, MD in Jackson, MS

Pradeep Kumar Vaitla, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Jackson, Mississippi. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5065.

Pradeep Kumar Vaitla is licensed to practice in Mississippi (license number 24433) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255645446.

Contact Information

	Pradeep Kumar Vaitla, MD
	2500 North State Street, Jackson, MS 39216-4500
	(601) 984-5065
	(601) 984-2962

Map and Direction

Physician's Profile

Full Name	Pradeep Kumar Vaitla
Gender	Male
Speciality	Nephrology
Experience	17 Years
Location	2500 North State Street, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pradeep Kumar Vaitla graduated from medical school in 2007

NPI Data:

NPI Number: 1255645446
Provider Enumeration Date: 07/30/2010
Last Update Date: 07/02/2019

Medicare PECOS Information:

PECOS PAC ID: 5799900643
Enrollment ID: I20160806000129

Medical Identifiers

Medical identifiers for Pradeep Kumar Vaitla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255645446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD.206335 (Louisiana)	Secondary
207RN0300X	Internal Medicine - Nephrology	24433 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital
Mobile Infirmary Medical Center	Mobile, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Pradeep Kumar Vaitla allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Pradeep Kumar Vaitla 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
Pradeep Kumar Vaitla, MD 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 984-5065	Pradeep Kumar Vaitla, MD 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 984-5065

Reviews and Comments

Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415
Jewelian Akbar Baig, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645
Jo P Deal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441
Samuel Hammond Love, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838
Meghan Alford Luter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532
Dr. Taylor Brooke Winstead, MD, PHARMD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Pradeep Kumar Vaitla, MD - Medicare Nephrology in Jackson, MS