Surya Nallamala, in Iuka, MS - Medicare Physical Therapist Provider

Surya Nallamala, is a medicare enrolled "Physical Therapist" provider in Iuka, Mississippi. His current practice location is 1670 Whitehouse Rd, Iuka, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 605-6777.

Surya Nallamala is licensed to practice in Mississippi (license number PT5668) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407467582.

Contact Information

	Surya Nallamala,
	1670 Whitehouse Rd, Iuka, MS 38852-9013
	(601) 605-6777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Surya Nallamala
Gender	Male
Speciality	Physical Therapist
Location	1670 Whitehouse Rd, Iuka, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407467582
Provider Enumeration Date: 08/12/2020
Last Update Date: 08/12/2020

Medicare PECOS Information:

PECOS PAC ID: 3577929488
Enrollment ID: I20230519000160

Medical Identifiers

Medical identifiers for Surya Nallamala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407467582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5668 (Mississippi)	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. Surya Nallamala allows following entities to bill medicare on his behalf.

Provider Name	Fyzio Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609595883 PECOS PAC ID: 0840666830 Enrollment ID: O20221017000827

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. Surya Nallamala 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
Surya Nallamala, 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777	Surya Nallamala, 1670 Whitehouse Rd, Iuka, MS 38852-9013 Ph: (601) 605-6777

Reviews and Comments

Physical Therapist in Iuka, MS

Drayer Physical Therapy Mississippi Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412a Battleground Drive, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151
Medicomp Physical Therapy Iuka Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112b Maria Ln, Iuka, MS 38852 Phone: 888-976-2667 Fax: 601-824-8828
Drayer Physical Therapy Of Tennessee Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412a Battleground Drive, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151
Shayla R Sturdivant, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1112 Maria Ln, Iuka, MS 38852 Phone: 662-593-3111
Jacey Borden Clayton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1112 Maria Ln, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151
Heather Surholt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 Battleground Dr, Iuka, MS 38852 Phone: 662-423-2633 Fax: 662-423-2988

Surya Nallamala, - Medicare Physical Therapist in Iuka, MS