Srinivas Kolla, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Weston, Wisconsin. He went to Stanford University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Mcleod Physician Associates Ii and his current practice location is
3400 Ministry Pkwy, Weston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 393-1000.
Srinivas Kolla is licensed to practice in Wisconsin (license number 71626) 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 1235100397.
Physician's Profile
| Full Name | Srinivas Kolla |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 32 Years |
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| Location | 3400 Ministry Pkwy, Weston, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Srinivas Kolla attended and graduated from Stanford University School Of Medicine in 1992
NPI Data:
- NPI Number: 1235100397
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 12/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153220074
- Enrollment ID: I20210721000126
Medical Identifiers
Medical identifiers for Srinivas Kolla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235100397 | NPI | - | NPPES |
| 1235100397 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 01063060A (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 036132466 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036132466 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 71626 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mcleod Physician Associates Ii | 8224031307 | 543 |
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. Srinivas Kolla allows following entities to bill medicare on his behalf.
| Entity Name | Mcleod Physician Associates Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568 |
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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. Srinivas Kolla 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 |
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Srinivas Kolla, MD
3400 Ministry Pkwy,
Weston, WI 54476-5220
Ph: (715) 393-1000 | Srinivas Kolla, MD
3400 Ministry Pkwy,
Weston, WI 54476-5220
Ph: (715) 393-1000 |
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