Rene Kukkamalla, - Medicare Emergency Medicine in Lexington, KY

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Rene Kukkamalla, is a medicare enrolled "Emergency Medicine" physician in Lexington, Kentucky. Her current practice location is 1221 S Broadway, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 258-4000.

Rene Kukkamalla is licensed to practice in Kentucky (license number 56420) 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 1417344136.

Contact Information

Rene Kukkamalla,
1221 S Broadway,
Lexington, KY 40504-2701
(859) 258-4000
(859) 258-6203

Map and Direction




Physician's Profile

Full NameRene Kukkamalla
GenderFemale
SpecialityEmergency Medicine
Location1221 S Broadway, Lexington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417344136
  • Provider Enumeration Date: 04/20/2015
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254681174
  • Enrollment ID: I20220907001280

Medical Identifiers

Medical identifiers for Rene Kukkamalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417344136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 56420 (Kentucky)Primary
207P00000XEmergency Medicine R6033 (Texas)Secondary

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. Rene Kukkamalla allows following entities to bill medicare on her behalf.
Entity NameNew Lexington Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803681
PECOS PAC ID: 3476457532
Enrollment ID: O20031121000103
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameClark Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346781499
PECOS PAC ID: 2961770268
Enrollment ID: O20170609000089

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. Rene Kukkamalla 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 AddressPractice Location Address
Rene Kukkamalla,
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-6200		Rene Kukkamalla,
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-4000

Reviews and Comments


Emergency Medicine Doctors in Lexington, KY

Allison Woodall, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: University Of Kentucky And Affiliates, 800 Rose St., Lexington, KY 40536
Phone: 859-323-5871    
Traci Westerfield, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2416 Regency Road, Lexington, KY 40503
Phone: 859-278-1316    Fax: 859-276-1574
Dr. Hollis R Hilty, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1740 Nicholasville Road, Lexington, KY 40503
Phone: 859-260-6180    Fax: 859-260-6693
James Byron Moore Ii, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3205 Summit Square Pl Ste 100, Lexington, KY 40509
Phone: 859-335-9041    Fax: 859-335-9072
Dr. Matthew Stewart Dawson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 230 W Main St, Lexington, KY 40507
Phone: 859-309-4839    
Dr. Jeremiah Phelps, MD PHD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: University Of Kentucky, 800 Rose St, Lexington, KY 40536
Phone: 859-323-6762    
Rebecca C Bowers, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Rose St, Lexington, KY 40536
Phone: 859-323-5901    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.