Vidya Kollu, MD | |
576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, TN 37772-5676 | |
(865) 271-6095 | |
Not Available |
Full Name | Vidya Kollu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710346671 | NPI | - | NPPES |
1710346671 | Medicaid | WI | |
Q095555 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD-43419 (Iowa) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 69007 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Trinity - Rock Island | Rock island, IL | Hospital |
Genesis Medical Center-dewitt | Dewitt, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 6103829338 | 186 |
Genesis Health System | 6103829338 | 186 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
Mailing Address | Practice Location Address |
---|---|
Vidya Kollu, MD 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-1900 | Vidya Kollu, MD 576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, TN 37772-5676 Ph: (865) 271-6095 |
Dr. Robert James Boehm, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772 Phone: 865-271-6000 | |
Dr. Milan N Sheth, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 689 Medical Park Dr, Ste 301, Lenoir City, TN 37772 Phone: 865-988-6330 Fax: 865-988-8772 | |
Dr. Stephen D Pershing, M.D. LLC Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1559 Highland Park Dr, Lenoir City, TN 37772 Phone: 865-635-8382 Fax: 423-635-8388 | |
Dr. Robert Sherwood Sullivan, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 198 Morning Point Dr, Lenoir City, TN 37772 Phone: 865-675-5490 Fax: 865-338-5899 | |
Joseph C. Petit, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 576 Fort Loudoun Medical Center Dr, Ste 200, Lenoir City, TN 37772 Phone: 865-988-9970 Fax: 865-271-6621 | |
Moez R Premji, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 308 E Bdwy, Lenoir City, TN 37771 Phone: 865-988-5774 Fax: 865-988-5776 | |
Dr. Mary Louise Mortimer, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 Phone: 865-988-1916 Fax: 865-988-1914 |