Preethi Kiran Venepalli, MD is a medicare enrolled "Pediatrics" physician in Chesterton, Indiana. Her current practice location is
407 W Indiana Ave, Chesterton, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 763-8112.
Preethi Kiran Venepalli is licensed to practice in Indiana (license number 01072539A) 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 1700049558.
Physician's Profile
Full Name | Preethi Kiran Venepalli |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 407 W Indiana Ave, Chesterton, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700049558
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911171673
- Enrollment ID: I20160701001484
Medical Identifiers
Medical identifiers for Preethi Kiran Venepalli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700049558 | NPI | - | NPPES |
201174280 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036.128154 (Illinois) | Secondary |
208000000X | Pediatrics | A119131 (California) | Secondary |
208000000X | Pediatrics | 01072539A (Indiana) | 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. Preethi Kiran Venepalli allows following entities to bill medicare on her behalf.
Entity Name | Northshore Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
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Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
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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. Preethi Kiran Venepalli 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 |
Preethi Kiran Venepalli, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 239-2170 | Preethi Kiran Venepalli, MD 407 W Indiana Ave, Chesterton, IN 46304-2350 Ph: (219) 763-8112 |
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