Supraja R Gulla, MD in Georgetown, TX - Medicare Internal Medicine

Supraja R Gulla, MD is a medicare enrolled "Internal Medicine" physician in Georgetown, Texas. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Scott And White Clinic and her current practice location is 4945 Williams Dr, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (317) 962-2894.

Supraja R Gulla is licensed to practice in Texas (license number T4929) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104076389.

Contact Information

	Supraja R Gulla, MD
	4945 Williams Dr, Georgetown, TX 78633-2008
	(317) 962-2894
	Not Available

Map and Direction

Physician's Profile

Full Name	Supraja R Gulla
Gender	Female
Speciality	Internal Medicine
Experience	20 Years
Location	4945 Williams Dr, Georgetown, 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.

Medical Education and Training:

Supraja R Gulla graduated from medical school in 2004

NPI Data:

NPI Number: 1104076389
Provider Enumeration Date: 09/24/2008
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7315116845
Enrollment ID: I20221020001429

Medical Identifiers

Medical identifiers for Supraja R Gulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104076389	NPI	-	NPPES
201037090	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.054210 (Illinois)	Secondary
207R00000X	Internal Medicine	01069786A (Indiana)	Secondary
208M00000X	Hospitalist	01069786A (Indiana)	Secondary
207R00000X	Internal Medicine	T4929 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Medical Center - Round Rock	Round rock, TX	Hospital
Baylor Scott & White Pavilion - Temple	Temple, TX	Hospital
Baylor Scott & White Medical Center Pflugerville	Pflugerville, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scott And White Clinic	8123923604	2143

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. Supraja R Gulla allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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. Supraja R Gulla 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
Supraja R Gulla, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () -	Supraja R Gulla, MD 4945 Williams Dr, Georgetown, TX 78633-2008 Ph: (317) 962-2894

Reviews and Comments

Internal Medicine Doctors in Georgetown, TX

Dr. Jennifer Lynn Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78628 Phone: 512-819-0500
Abhijeet V Koli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434
Anita D'mello, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500
Robert F Denyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434
Lori L Palazzo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626 Phone: 512-863-3343 Fax: 512-869-4978
Mithula Rao Gopalam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 Fax: 512-819-0520

Supraja R Gulla, MD - Medicare Internal Medicine in Georgetown, TX