Srividya Venigalla, MD | |
100 Pecan Crossing Dr, Horseshoe Bay, TX 78657-6097 | |
(254) 724-2111 | |
(541) 957-8667 |
Full Name | Srividya Venigalla |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 100 Pecan Crossing Dr, Horseshoe Bay, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104887595 | NPI | - | NPPES |
026827 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD25891 (Oregon) | Secondary |
207R00000X | Internal Medicine | U0210 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Meridian Park Hospital | 5092609842 | 90 |
Entity Name | Legacy Meridian Park Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Mailing Address | Practice Location Address |
---|---|
Srividya Venigalla, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Srividya Venigalla, MD 100 Pecan Crossing Dr, Horseshoe Bay, TX 78657-6097 Ph: (254) 724-2111 |
Warren P Roche Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Pecan Crossing, Horseshoe Bay, TX 78657 Phone: 830-598-4405 Fax: 830-598-5172 | |
Laura Salazar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Pecan Crossing Dr, Horseshoe Bay, TX 78657 Phone: 830-598-4405 | |
Mrs. Kyndra Sallee, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Horseshoe Bay Clinic (rhc), 100 Pecan Crossing Drive, Horseshoe Bay, TX 78657 Phone: 830-596-6900 |