Dr Sivasankara R Konala, MD in Wentzville, MO

Dr Sivasankara R Konala, MD is a medicare enrolled "Internal Medicine" physician in Wentzville, Missouri. His current practice location is 1111 W Pearce Blvd, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 887-4288.

Dr Sivasankara R Konala is licensed to practice in Missouri (license number 108398) 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 1538104229.

Contact Information

	Dr Sivasankara R Konala, MD
	1111 W Pearce Blvd, Wentzville, MO 63385-1020
	(636) 887-4288
	(636) 639-2368

Map and Direction

Physician's Profile

Full Name	Dr Sivasankara R Konala
Gender	Male
Speciality	Internal Medicine
Location	1111 W Pearce Blvd, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538104229
Provider Enumeration Date: 06/18/2006
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 7618915992
Enrollment ID: I20050418001025

Medical Identifiers

Medical identifiers for Dr Sivasankara R Konala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538104229	NPI	-	NPPES
204888713	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	1083988 (Missouri)	Secondary
207R00000X	Internal Medicine	108398 (Missouri)	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 Sivasankara R Konala allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Our Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531

Entity Name	Lake Forest Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023261716 PECOS PAC ID: 1759441884 Enrollment ID: O20081119000794

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325

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 Sivasankara R Konala 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 Sivasankara R Konala, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Dr Sivasankara R Konala, MD 1111 W Pearce Blvd, Wentzville, MO 63385-1020 Ph: (636) 887-4288

Reviews and Comments

Internal Medicine Doctors in Wentzville, MO

Lee H Turk, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1100
Dr. Navin Choudhary, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Drive, Wentzville, MO 63385 Phone: 636-497-6776 Fax: 636-639-1375
Dr. Amanda Jewel Sileo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W Meyer Rd, Wentzville, MO 63385 Phone: 636-698-6266
Dr. Robert Snitzer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-497-4055
Nighat S Qadri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-8000 Fax: 636-332-9950
Dr. Mark D Taber, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-497-4055
John Paul Shoup, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-497-4000 Fax: 636-497-4001

Dr Sivasankara R Konala, MD - Medicare Internal Medicine in Wentzville, MO