Lincy Koodaly, CRNA in Baltimore, MD - Medicare Nurse Anesthetist, Certified Registered

Lincy Koodaly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baltimore, Maryland. Her current practice location is 3001 S Hanover St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 350-3200.

Lincy Koodaly is licensed to practice in Maryland (license number R167597) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588021844.

Contact Information

	Lincy Koodaly, CRNA
	3001 S Hanover St, Baltimore, MD 21225-1233
	(410) 350-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Lincy Koodaly
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3001 S Hanover St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588021844
Provider Enumeration Date: 01/18/2016
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8820395619
Enrollment ID: I20160322001044

Medical Identifiers

Medical identifiers for Lincy Koodaly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588021844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R 167597 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R167597 (Maryland)	Primary

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. Lincy Koodaly allows following entities to bill medicare on her behalf.

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976

Entity Name	Digestive Disease Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407400955 PECOS PAC ID: 1951734078 Enrollment ID: O20191204000393

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. Lincy Koodaly 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
Lincy Koodaly, CRNA 3001 S Hanover St, Baltimore, MD 21225-1233 Ph: (410) 350-3200	Lincy Koodaly, CRNA 3001 S Hanover St, Baltimore, MD 21225-1233 Ph: (410) 350-3200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Baltimore, MD

Ms. Jennifer Renee Pease Moreno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jhu 600 N Wolfe St, Dept Anesthesia Critical Care Medicine- Blalock 14th Fl, Baltimore, MD 21287 Phone: 410-955-4552
Kristen Marll, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-5209
Mrs. Victoria Volta Manger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Caton Ave, Baltimore, MD 21229 Phone: 667-234-3045
Duncan Mcelfresh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 W Belvedere Ave, Anesthesia Department, Baltimore, MD 21215 Phone: 410-601-5209 Fax: 410-601-9744
Mr. Michael W Hoban, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Paul St, Baltimore, MD 21202 Phone: 410-332-9375
Mrs. Dama Reter Yekeson-koffa, RN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Anesthesia Department Bayview Medical Center, Baltimore, MD 21224 Phone: 443-694-8960 Fax: 410-356-5821
Kelly Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-8667

Lincy Koodaly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Baltimore, MD