Sudha Penumala, in Grand Rapids, MI - Medicare Internal Medicine

Sudha Penumala, is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Grand Rapids, Michigan. Her current practice location is 300 Lafayette Ave Se, Ste 2045, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-3098.

Sudha Penumala is licensed to practice in Kentucky (license number 55256) 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 1437635984.

Contact Information

	Sudha Penumala,
	300 Lafayette Ave Se, Ste 2045, Grand Rapids, MI 49503-4692
	(616) 685-3098
	(616) 685-3095

Map and Direction

Physician's Profile

Full Name	Sudha Penumala
Gender	Female
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437635984
Provider Enumeration Date: 07/18/2018
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4486907508
Enrollment ID: I20230901003485

Medical Identifiers

Medical identifiers for Sudha Penumala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437635984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	55256 (Kentucky)	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. Sudha Penumala allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Partners - Physician Specialist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

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. Sudha Penumala 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
Sudha Penumala, Po Box 776974, Chicago, IL 60677-6974 Ph: (800) 494-5797	Sudha Penumala, 300 Lafayette Ave Se, Ste 2045, Grand Rapids, MI 49503-4692 Ph: (616) 685-3098

Reviews and Comments

Internal Medicine Doctors in Grand Rapids, MI

Maureen Tan Pedres, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044
Jeffery Allen Woo, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071
Robert W Selfe, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600
Dr. Andrew Leo Sochacki, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800
Aline De Quadros Teixeira, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139
Stephanie F Williams, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489

Sudha Penumala, - Medicare Internal Medicine in Grand Rapids, MI