Kuladeep Krishna Gidda, MD is a medicare enrolled "Hospitalist" physician in Statesville, North Carolina. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Optimed Hospitalists, Pllc and his current practice location is
557 Brookdale Dr, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 873-5661.
Kuladeep Krishna Gidda is licensed to practice in North Carolina (license number 2022-02394) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720510720.
Physician's Profile
| Full Name | Kuladeep Krishna Gidda |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 11 Years |
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| Location | 557 Brookdale Dr, Statesville, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kuladeep Krishna Gidda graduated from medical school in 2013
NPI Data:
- NPI Number: 1720510720
- Provider Enumeration Date: 03/29/2017
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648541979
- Enrollment ID: I20221004001946
Medical Identifiers
Medical identifiers for Kuladeep Krishna Gidda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720510720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35.139927 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 2022-02394 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optimed Hospitalists, Pllc | 8022204171 | 62 |
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. Kuladeep Krishna Gidda allows following entities to bill medicare on his behalf.
| Entity Name | Optimed Hospitalists, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235449125
PECOS PAC ID: 8022204171
Enrollment ID: O20101201000378 |
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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. Kuladeep Krishna Gidda 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 |
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Kuladeep Krishna Gidda, MD
557 Brookdale Dr,
Statesville, NC 28677-4100
Ph: (704) 873-5661 | Kuladeep Krishna Gidda, MD
557 Brookdale Dr,
Statesville, NC 28677-4100
Ph: (704) 873-5661 |
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