Raviteja Naga Devalla, MD in Dakota Dunes, SD

Raviteja Naga Devalla, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Dakota Dunes, South Dakota. His current practice location is 345 W Steamboat Dr Ste 601, Dakota Dunes, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 217-5617.

Raviteja Naga Devalla is licensed to practice in South Dakota (license number 14123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073975298.

Contact Information

	Raviteja Naga Devalla, MD
	345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287
	(605) 217-5617
	(605) 217-5533

Map and Direction

Physician's Profile

Full Name	Raviteja Naga Devalla
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	345 W Steamboat Dr Ste 601, Dakota Dunes, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073975298
Provider Enumeration Date: 03/26/2016
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 3971881327
Enrollment ID: I20230616000369

Medical Identifiers

Medical identifiers for Raviteja Naga Devalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073975298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	14123 (South Dakota)	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. Raviteja Naga Devalla allows following entities to bill medicare on his behalf.

Entity Name	Vascular & Interventional Radiology Of Siouxland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225636129 PECOS PAC ID: 7113330663 Enrollment ID: O20201230002359

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. Raviteja Naga Devalla 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
Raviteja Naga Devalla, MD 345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287 Ph: (605) 217-5617	Raviteja Naga Devalla, MD 345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287 Ph: (605) 217-5617

Reviews and Comments

Surgery Doctors in Dakota Dunes, SD

Dr. Craig Robert Nemechek, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515
Dr. Keith A. Vollstedt, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515
Dr. Paul W. Wolpert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 612 N Sioux Point Rd, Ste 400, Dakota Dunes, SD 57049 Phone: 605-232-6353 Fax: 605-232-6500
Dr. Yorell Manon-matos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 Sioux Point Road, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900
Paul E Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515
Dr. Lawrence Thomas Volz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515

Raviteja Naga Devalla, MD - Medicare Surgery in Dakota Dunes, SD