Srivani Chunchulu, MD is a medicare enrolled "Hospitalist" physician in Maysville, Missouri. Her current practice location is
1007 S Polk St, Maysville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 449-2123.
Srivani Chunchulu is licensed to practice in Ohio (license number 35.144406) 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 1881009538.
Physician's Profile
| Full Name | Srivani Chunchulu |
|---|
| Gender | Female |
|---|
| Speciality | Hospitalist |
|---|
| Location | 1007 S Polk St, Maysville, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1881009538
- Provider Enumeration Date: 06/20/2014
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648598474
- Enrollment ID: I20220615002735
Medical Identifiers
Medical identifiers for Srivani Chunchulu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881009538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 2017022845 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 35.144406 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 35.144406 (Ohio) | 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. Srivani Chunchulu allows following entities to bill medicare on her behalf.
| Entity Name | Alliance Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
|---|
| Entity Name | Kettering Independent Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
|---|
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. Srivani Chunchulu 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 |
|---|
Srivani Chunchulu, MD
1600 E Evergreen St,
Cameron, MO 64429-2400
Ph: (816) 632-2101 | Srivani Chunchulu, MD
1007 S Polk St,
Maysville, MO 64469-4030
Ph: (816) 449-2123 |
Reviews and Comments