| Anu Prasad Vellanki, MD | |
|
827 N Pine St, Gramercy, LA 70052-3659 | |
| (225) 869-9200 | |
| (225) 869-9241 |
| Full Name | Anu Prasad Vellanki |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 827 N Pine St, Gramercy, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497746499 | NPI | - | NPPES |
| 04-01417 | Other | LA | UNITED HEALTH CARE |
| 1559571 | Medicaid | LA | |
| 1448800 | Other | LA | MEDICAID RURAL HEALTH |
| 193870 | Other | LA | MEDICARE RURAL HEALTH |
| 193875 | Other | LA | MEDICARE RURAL HEALTH |
| 110215391 | Other | LA | RAILROAD MEDICARE |
| 1457621 | Other | LA | MEDICAID RURAL HEALTH |
| 5CE42 | Other | LA | MEDICARE GROUP |
| 7110052 | Other | LA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12855R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Egan-ochsner Home Health River Parishes | Gonzales, LA | Home health agency |
| Superior Home Health Care Inc | Baton rouge, LA | Home health agency |
| Feliciana Home Health South | Gonzales, LA | Home health agency |
| St James Parish Hospital | Lutcher, LA | Hospital |
| Ochsner Medical Center-kenner | Kenner, LA | Hospital |
| Chateau St. James Rehab And Retirement | Lutcher, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St James Primary Care (apmc) | 0941270961 | 2 |
| Entity Name | St James Primary Care (apmc) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346429453 PECOS PAC ID: 0941270961 Enrollment ID: O20040728000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Anu Prasad Vellanki, MD Po Box 419, Gramercy, LA 70052-0419 Ph: (225) 869-9200 | Anu Prasad Vellanki, MD 827 N Pine St, Gramercy, LA 70052-3659 Ph: (225) 869-9200 |