Rama K Kethineni, MBBS in Fayetteville, NC

Rama K Kethineni, MBBS is a medicare enrolled "Internal Medicine - Nephrology" physician in Fayetteville, North Carolina. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Carolina Kidney Care Pa and his current practice location is 557 Sandhurst Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 484-8114.

Rama K Kethineni is licensed to practice in North Carolina (license number 2023-02989) 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 1417226721.

Contact Information

	Rama K Kethineni, MBBS
	557 Sandhurst Dr, Fayetteville, NC 28304-4433
	(910) 484-8114
	(910) 223-0511

Map and Direction

Physician's Profile

Full Name	Rama K Kethineni
Gender	Male
Speciality	Nephrology
Experience	2 Years
Location	557 Sandhurst Dr, Fayetteville, North Carolina
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:

Rama K Kethineni graduated from medical school in 2022

NPI Data:

NPI Number: 1417226721
Provider Enumeration Date: 12/16/2011
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527221001
Enrollment ID: I20240111002149

Medical Identifiers

Medical identifiers for Rama K Kethineni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417226721	NPI	-	NPPES
201078420	Medicaid	IN
000000766020	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	11729248-1205 (Utah)	Secondary
207RN0300X	Internal Medicine - Nephrology	2023-02989 (North Carolina)	Primary
207R00000X	Internal Medicine	35.125862 (Ohio)	Secondary
207R00000X	Internal Medicine	01070789A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fayetteville Kidney Center	Fayetteville, NC	Dialysis facility
Cape Fear Valley Medical Center	Fayetteville, NC	Hospital
Southeastern Regional Medical Center	Lumberton, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Kidney Care Pa	4587576020	21

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. Rama K Kethineni allows following entities to bill medicare on his behalf.

Entity Name	Carolina Kidney Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198761 PECOS PAC ID: 4587576020 Enrollment ID: O20031103000503

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. Rama K Kethineni 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
Rama K Kethineni, MBBS 30 N 1900 E Rm 4r312, Salt Lake City, UT 84132-0002 Ph: (801) 581-6709	Rama K Kethineni, MBBS 557 Sandhurst Dr, Fayetteville, NC 28304-4433 Ph: (910) 484-8114

Reviews and Comments

Internal Medicine Doctors in Fayetteville, NC

Kenneth Melton, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564
Kenneth Russell Manning, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219
San San Wai, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120
Dr. Sabena Johnson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120
Dr. Stephen S Logue, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258
David Tat, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110
Dr. Ghanshyam Pradyumna Dwivedi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704

Rama K Kethineni, MBBS - Medicare Nephrology in Fayetteville, NC