Venkata K Chalasani, MD | |
812 Redskin Trl Ste A, Wapakoneta Primary Care, Wapakoneta, OH 45895-8545 | |
(419) 738-4445 | |
(419) 738-4601 |
Full Name | Venkata K Chalasani |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 812 Redskin Trl Ste A, Wapakoneta, Ohio |
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 |
---|---|---|---|
1164525952 | NPI | - | NPPES |
H280550 | Other | OH | MEDICARE INDIVIDUAL PTAN |
0705982 | Other | OH | MEDICAID LEGACY |
9934723 | Other | OH | MEDICARE GROUP PTAN |
1356772255 | Other | OH | GROUP NPI -WAPAKONETA PRIMARY CARE |
2090115 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35074822 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Lake Health System | Saint marys, OH | Hospital |
Lima Memorial Health System | Lima, OH | Hospital |
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Transitional Care Unit | Saint marys, OH | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jtdm Family Practice Llc | 2163415837 | 42 |
Joint Township District Memorial Hospital | 3870491590 | 47 |
Entity Name | Joint Township District Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
Entity Name | Jtdm Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
Mailing Address | Practice Location Address |
---|---|
Venkata K Chalasani, MD 200 Saint Clair Ave, Jtdm Family Practice, Llc, Saint Marys, OH 45885-2400 Ph: (419) 394-3387 | Venkata K Chalasani, MD 812 Redskin Trl Ste A, Wapakoneta Primary Care, Wapakoneta, OH 45895-8545 Ph: (419) 738-4445 |
Ashok Kumar Tripuraneni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 S Blackhoof St Ste B, Wapakoneta, OH 45895 Phone: 419-998-8299 Fax: 419-998-8266 |