Praveen C Korimerla, MD | |
1100 Goethals Dr, Suite E, Richland, WA 99352-3300 | |
(509) 942-3095 | |
(509) 942-3097 |
Full Name | Praveen C Korimerla |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 23 Years |
Location | 1100 Goethals Dr, Richland, Washington |
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 |
---|---|---|---|
1194929273 | NPI | - | NPPES |
1538368360 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 243005 (New York) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD60403274 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kadlec Regional Medical Center | Richland, WA | Hospital |
Prosser Memorial Hospital | Prosser, WA | Hospital |
Good Shepherd Medical Center | Hermiston, OR | Hospital |
St Anthony Hospital | Pendleton, OR | Hospital |
Trios Health | Kennewick, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kadlec Regional Medical Center | 9739098617 | 347 |
Prosser Public Hospital District Of Benton County | 6709787872 | 62 |
Kadlec Regional Medical Center | 9739098617 | 347 |
Entity Name | Kadlec Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
Entity Name | Prosser Public Hospital District Of Benton County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
Mailing Address | Practice Location Address |
---|---|
Praveen C Korimerla, MD 3900 S Zintel Way, Kennewick, WA 99337-5092 Ph: (509) 942-3627 | Praveen C Korimerla, MD 1100 Goethals Dr, Suite E, Richland, WA 99352-3300 Ph: (509) 942-3095 |
Kalavati Paila, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Dr. Braghadheeswar Thyagarajan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2648 Fax: 509-942-2812 | |
Ziga Tretjak, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 780 Swift Blvd, Suite 270, Kadlec Clinic, Gastroenterology, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-943-3280 | |
Dr. Caleb Haws, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-627-2983 | |
Nazar Hafiz, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1270 Lee Blvd Ste A, Richland, WA 99352 Phone: 509-942-3180 Fax: 509-943-9722 | |
Arnulfo T Deray, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Munish Kumar Kannabhiran, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1100 Goethals Dr Ste E, Richland, WA 99352 Phone: 509-942-3272 Fax: 509-942-3273 |