Etukuru Md Pc is a medicare enrolled primary clinic (Internal Medicine) in Little Egg Harbor Twp, New Jersey. The current practice location for Etukuru Md Pc is 1001 Center St, Little Egg Harbor Twp, New Jersey. For appointments, you can reach them via phone at
(609) 296-9292. The mailing address for Etukuru Md Pc is 33 Preakness Dr, Monroe, New Jersey and phone number is (718) 702-6139.
Etukuru Md Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1780449868. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(609) 296-9292.
Primary Care Clinic Profile
| Full Name | Etukuru Md Pc |
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| Speciality | Internal Medicine |
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| Location | 1001 Center St, Little Egg Harbor Twp, New Jersey |
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| Authorized Official Name and Position | Kasturi Etukuru (OWNER) |
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| Authorized Official Contact | 7187026139 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Etukuru Md Pc
33 Preakness Dr
Monroe
NJ 08831-7711
Ph: (718) 702-6139 | Etukuru Md Pc
1001 Center St
Little Egg Harbor Twp
NJ 08087-1347
Ph: (609) 296-9292 |
NPI Details:
| NPI Number | 1780449868 |
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| Provider Enumeration Date | 02/16/2024 |
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| Last Update Date | 10/07/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0941647903 |
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| Medicare Enrollment ID | O20240326002491 |
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Medical Identifiers
Medical identifiers for Etukuru Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780449868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Etukuru Md Pc acts as a billing entity for following providers:
| Provider Name | Kasturi Etukuru |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1912117300
PECOS PAC ID: 3870688609
Enrollment ID: I20151023001552 |
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