Suman Annambhotla, MD in Gainesville, GA - Medicare Vascular Surgery

Suman Annambhotla, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Gainesville, Georgia. He went to University Of Alabama School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Northside Surgical Professional Services Llc and his current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 207-4000.

Suman Annambhotla is licensed to practice in Georgia (license number 070035) 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 1760712889.

Contact Information

	Suman Annambhotla, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(678) 207-4000
	(770) 531-2435

Map and Direction

Physician's Profile

Full Name	Suman Annambhotla
Gender	Male
Speciality	Vascular Surgery
Experience	19 Years
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Suman Annambhotla attended and graduated from University Of Alabama School Of Medicine in 2005

NPI Data:

NPI Number: 1760712889
Provider Enumeration Date: 01/12/2010
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8123261955
Enrollment ID: I20130827000453

Medical Identifiers

Medical identifiers for Suman Annambhotla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760712889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	M8500 (Texas)	Secondary
2086S0129X	Surgery - Vascular Surgery	070035 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Surgical Professional Services Llc	8628253424	272

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. Suman Annambhotla allows following entities to bill medicare on his behalf.

Entity Name	Northside Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598

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. Suman Annambhotla 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
Suman Annambhotla, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Suman Annambhotla, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (678) 207-4000

Reviews and Comments

Surgery Doctors in Gainesville, GA

Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947

Suman Annambhotla, MD - Medicare Vascular Surgery in Gainesville, GA