Subba R Gollamudi, MD | |
825 Ridge Lake Blvd, Memphis, TN 38120-9411 | |
(901) 685-2200 | |
(901) 820-2342 |
Full Name | Subba R Gollamudi |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 37 Years |
Location | 825 Ridge Lake Blvd, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154378735 | NPI | - | NPPES |
121686001 | Medicaid | AR | |
3067983 | Medicaid | TN | |
00119845 | Medicaid | MS | |
180018881 | Other | TN | PALMETTO RR MEDICARE |
180042504 | Other | MS | PALMETTO RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | E-3527 (Arkansas) | Secondary |
207W00000X | Ophthalmology | 16734 (Mississippi) | Secondary |
207W00000X | Ophthalmology | MD0000021892 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vrf Eye Specialty Group, Plc | 2264328723 | 17 |
Vrf Eye Specialty Group, Plc | 2264328723 | 17 |
Entity Name | Vrf Eye Specialty Group, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729806 PECOS PAC ID: 2264328723 Enrollment ID: O20040320000648 |
Mailing Address | Practice Location Address |
---|---|
Subba R Gollamudi, MD Po Box 22510, Jackson, MS 39225-2510 Ph: (901) 685-2200 | Subba R Gollamudi, MD 825 Ridge Lake Blvd, Memphis, TN 38120-9411 Ph: (901) 685-2200 |
Kathryn W Byrd, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 324, Memphis, TN 38119 Phone: 901-681-9600 Fax: 901-681-9608 | |
Dr. Clifford William Sims, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1407 Union Ave Ste 901, Memphis, TN 38104 Phone: 901-526-8393 Fax: 901-526-8331 | |
Priscilla April Lao, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38103 Phone: 901-448-6650 Fax: 901-302-2486 | |
Dr. Daniel H Wissinger, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1203 Ridgeway Rd, Ste 201, Memphis, TN 38119 Phone: 901-761-5544 Fax: 901-761-9088 | |
Penny Asbell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38163 Phone: 901-448-6650 | |
Michele A Battles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 340, Memphis, TN 38119 Phone: 901-683-5500 Fax: 901-683-2900 | |
Dr. Natalie C Kerr, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 400, Memphis, TN 38103 Phone: 901-287-7337 Fax: 901-448-1813 |