Priya Shiva Vishnubhotla, MD in Conyers, GA - Medicare Internal Medicine

Priya Shiva Vishnubhotla, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Conyers, Georgia. Her current practice location is 1412 Milstead Ave Ne Ste 300, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 918-2320.

Priya Shiva Vishnubhotla is licensed to practice in Georgia (license number 95261) 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 1952393803.

Contact Information

	Priya Shiva Vishnubhotla, MD
	1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877
	(404) 918-2320
	Not Available

Map and Direction

Physician's Profile

Full Name	Priya Shiva Vishnubhotla
Gender	Female
Speciality	Internal Medicine - Hematology & Oncology
Location	1412 Milstead Ave Ne Ste 300, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952393803
Provider Enumeration Date: 08/17/2005
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9133153588
Enrollment ID: I20230510000524

Medical Identifiers

Medical identifiers for Priya Shiva Vishnubhotla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952393803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	ME93654 (Florida)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	95261 (Georgia)	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. Priya Shiva Vishnubhotla allows following entities to bill medicare on her behalf.

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

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. Priya Shiva Vishnubhotla 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
Priya Shiva Vishnubhotla, MD 70 W Gore St, Ste 100, Orlando, FL 32806-1124 Ph: (407) 426-8484	Priya Shiva Vishnubhotla, MD 1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 Ph: (404) 918-2320

Reviews and Comments

Internal Medicine Doctors in Conyers, GA

Dr. Sitharam Chowdary Nandigam, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580
Marshall David Almand, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016
Dr. Ekundayo Adedapo Falase, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580
Mr. Richard Carter, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818
Osarenomase Egharevba, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Kawanjit Surapur, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 404-350-0009
Dr. Christin-lauren Tanksley, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310

Priya Shiva Vishnubhotla, MD - Medicare Internal Medicine in Conyers, GA