Venu M Madhipatla, MD | |
455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | |
(770) 962-3642 | |
(770) 962-3643 |
Full Name | Venu M Madhipatla |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 455 Philip Blvd Ste 140, Lawrenceville, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578623278 | NPI | - | NPPES |
200973980 | Medicaid | IN | |
003104831N | Medicaid | GA | |
7100117730 | Medicaid | KY | |
003104831A | Medicaid | GA |
Facility Name | Location | Facility Type |
---|---|---|
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colquitt Regional Anesthesia, Llc | 2860563665 | 4 |
Ams Southeast Llc | 3870880792 | 66 |
Entity Name | Colquitt Regional Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154580512 PECOS PAC ID: 2860563665 Enrollment ID: O20080623000359 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Entity Name | Piedmont Specialty Hospital Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
Mailing Address | Practice Location Address |
---|---|
Venu M Madhipatla, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 | Venu M Madhipatla, MD 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 |
Srinand Mandyam, MD Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 Phone: 770-962-3642 Fax: 770-962-3643 | |
Sunay Ashok Patel, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 Phone: 770-962-3642 Fax: 770-962-3643 | |
William J Epps, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4799 Sugarloaf Pkwy # G100, Lawrenceville, GA 30044 Phone: 770-929-9033 |