Raghavesh Pullalarevu, MD in Royal Oak, MI

Raghavesh Pullalarevu, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Royal Oak, Michigan. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Sanford Medical Center Fargo, Sanford Medical Center Fargo and his current practice location is 3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (800) 253-5592.

Raghavesh Pullalarevu is licensed to practice in Michigan (license number 4301110236) 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 1689985079.

Contact Information

	Raghavesh Pullalarevu, MD
	3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770
	(800) 253-5592
	(248) 551-2125

Map and Direction

Physician's Profile

Full Name	Raghavesh Pullalarevu
Gender	Male
Speciality	Nephrology
Experience	18 Years
Location	3535 W 13 Mile Rd Ste 644, Royal Oak, Michigan
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:

Raghavesh Pullalarevu graduated from medical school in 2006

NPI Data:

NPI Number: 1689985079
Provider Enumeration Date: 06/30/2010
Last Update Date: 06/23/2016

Medicare PECOS Information:

PECOS PAC ID: 0446408868
Enrollment ID: I20181102002187

Medical Identifiers

Medical identifiers for Raghavesh Pullalarevu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689985079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT 198189 (Pennsylvania)	Secondary
207RN0300X	Internal Medicine - Nephrology	4301110236 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Dialysis Morris	Morris, MN	Dialysis facility
Sanford Medical Center Fargo	Fargo, ND	Hospital
Stevens Community Medical Center	Morris, MN	Hospital
Sanford Bemidji Medical Center	Bemidji, MN	Hospital
Perham Health	Perham, MN	Hospital
Sanford Wheaton Medical Center	Wheaton, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085
Sanford Medical Center Fargo	8426967803	1085

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. Raghavesh Pullalarevu allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Raghavesh Pullalarevu 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
Raghavesh Pullalarevu, MD 130 Town Center Dr Ste 203, Beaumont Medical Staff Affairs, Troy, MI 48084-1744 Ph: (248) 585-8218	Raghavesh Pullalarevu, MD 3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770 Ph: (800) 253-5592

Reviews and Comments

Internal Medicine Doctors in Royal Oak, MI

Nicole Marijanovich, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580
Vinayata Manuballa Kareti, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803
Christopher Carpenter, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495
Dr. Matthew Burns Cotant, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909
Geoffrey Prysak, MD, MPH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999
Taylor Schoenheit, Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509
Shane Mckenna, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425

Raghavesh Pullalarevu, MD - Medicare Nephrology in Royal Oak, MI