Mrs Vani Radhika Talluri, NP in Detroit, MI - Medicare Nurse Practitioner

Mrs Vani Radhika Talluri, NP is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 45 West Grand River Avenue, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 324-8916.

Mrs Vani Radhika Talluri is licensed to practice in Michigan (license number 4704246813) 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 1831539535.

Contact Information

	Mrs Vani Radhika Talluri, NP
	45 West Grand River Avenue, Detroit, MI 48226-1701
	(313) 324-8916
	(313) 965-4424

Map and Direction

Provider's Profile

Full Name	Mrs Vani Radhika Talluri
Gender	Female
Speciality	Nurse Practitioner - Family
Location	45 West Grand River Avenue, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831539535
Provider Enumeration Date: 06/27/2013
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8628204765
Enrollment ID: I20131120001805

Medical Identifiers

Medical identifiers for Mrs Vani Radhika Talluri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831539535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704246813 (Michigan)	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. Mrs Vani Radhika Talluri allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651

Entity Name	Henry Ford Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908

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. Mrs Vani Radhika Talluri 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
Mrs Vani Radhika Talluri, NP 45 West Grand River Avenue, Detroit, MI 48226-1701 Ph: (133) 248-1773	Mrs Vani Radhika Talluri, NP 45 West Grand River Avenue, Detroit, MI 48226-1701 Ph: (313) 324-8916

Reviews and Comments

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Mrs Vani Radhika Talluri, NP - Medicare Nurse Practitioner in Detroit, MI