Sirish Kumar Kondabolu, in Lebanon, PA - Medicare Orthopaedic Surgery

Sirish Kumar Kondabolu, is a medicare enrolled "Orthopaedic Surgery" physician in Lebanon, Pennsylvania. His current practice location is 912 Russell Dr, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 272-7971.

Sirish Kumar Kondabolu is licensed to practice in Pennsylvania (license number MD465257) 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 1821354176.

Contact Information

	Sirish Kumar Kondabolu,
	912 Russell Dr, Lebanon, PA 17042
	(717) 272-7971
	(717) 272-1241

Map and Direction

Physician's Profile

Full Name	Sirish Kumar Kondabolu
Gender	Male
Speciality	Orthopaedic Surgery
Location	912 Russell Dr, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821354176
Provider Enumeration Date: 04/11/2012
Last Update Date: 01/18/2019

Medicare PECOS Information:

PECOS PAC ID: 1153681556
Enrollment ID: I20180202001859

Medical Identifiers

Medical identifiers for Sirish Kumar Kondabolu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821354176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	275452 (New York)	Secondary
207X00000X	Orthopaedic Surgery	MD465257 (Pennsylvania)	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. Sirish Kumar Kondabolu allows following entities to bill medicare on his behalf.

Entity Name	Champlain Valley Physicians Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623

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. Sirish Kumar Kondabolu 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
Sirish Kumar Kondabolu, 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-1405	Sirish Kumar Kondabolu, 912 Russell Dr, Lebanon, PA 17042 Ph: (717) 272-7971

Reviews and Comments

Orthopaedic Surgery Doctors in Lebanon, PA

Sean E Slaven, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971
David G Kuntz Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971 Fax: 717-272-1241
Dr. David J Overholt, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971 Fax: 717-272-1241
Dr. Fotis G Mystakas, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971 Fax: 717-272-1241
Dr. Victor J Faralli, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971 Fax: 717-272-1241
Dr. Frederick Lewis Jones, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-5982
Dr. Scott M. Williams, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 912 Russell Dr, Lebanon, PA 17042 Phone: 717-272-7971 Fax: 717-272-1241

Sirish Kumar Kondabolu, - Medicare Orthopaedic Surgery in Lebanon, PA