Dr Kala Annambhotla, PHD in Tucson, AZ - Medicare Psychologist Provider

Dr Kala Annambhotla, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tucson, Arizona. Her current practice location is 430 N Tucson Blvd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 325-4837.

Dr Kala Annambhotla is licensed to practice in Arizona (license number 3452) 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 1790840510.

Contact Information

	Dr Kala Annambhotla, PHD
	430 N Tucson Blvd, Tucson, AZ 85716-4745
	(520) 325-4837
	(520) 323-3739

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kala Annambhotla
Gender	Female
Speciality	Psychologist - Clinical
Location	430 N Tucson Blvd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790840510
Provider Enumeration Date: 12/22/2006
Last Update Date: 07/15/2014

Medicare PECOS Information:

PECOS PAC ID: 3072956564
Enrollment ID: I20240212004073

Medical Identifiers

Medical identifiers for Dr Kala Annambhotla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790840510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3452 (Arizona)	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. Dr Kala Annambhotla allows following entities to bill medicare on her behalf.

Entity Name	Carolina Psychological Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467409003 PECOS PAC ID: 3678587995 Enrollment ID: O20060125001009

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. Dr Kala Annambhotla 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
Dr Kala Annambhotla, PHD 3938 E Grant Rd # 212, Tucson, AZ 85712-2559 Ph: (520) 334-5960	Dr Kala Annambhotla, PHD 430 N Tucson Blvd, Tucson, AZ 85716-4745 Ph: (520) 325-4837

Reviews and Comments

Psychologist in Tucson, AZ

Jon Howard Mccaine, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 37 E Speedway Blvd, Tucson, AZ 85705 Phone: 602-502-3629
Dr. Jacquelyn St. Germaine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 380 E Fort Lowell Rd, #122, Tucson, AZ 85705 Phone: 520-325-6097 Fax: 520-531-1095
Ms. Lisa Sharon Coyner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 West Wetmore Road, Amphitheater Public Schools, Tucson, AZ 85705 Phone: 520-696-5237 Fax: 520-696-5067
Dr. Andrea A. Russell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7660 E Broadway Blvd, Suite 207, Tucson, AZ 85710 Phone: 520-885-0557
Maureen Jane Hutter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 E River Rd, Suite 102, Tucson, AZ 85718 Phone: 520-293-8446
Dr. Mayday R. Levine, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 504 W 29th St, Tucson, AZ 85713 Phone: 520-437-9035 Fax: 520-622-7324
Donna S Bender, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7664 Fax: 520-626-4010

Dr Kala Annambhotla, PHD - Medicare Psychologist in Tucson, AZ