| Chaitanya Krishna Kotagiri, MD | |
|
1103 W Liberty St, Farmington, MO 63640-1921 | |
| (573) 756-6751 | |
| (573) 756-6807 |
| Full Name | Chaitanya Krishna Kotagiri |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1103 W Liberty St, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1588825228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2011017860 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2011017860 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 125-054995 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Madison Medical Center | Fredericktown, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Chaitanya Krishna Kotagiri, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 751-6751 | Chaitanya Krishna Kotagiri, MD 1103 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6751 |
Paige Charboneau, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 Fax: 573-705-1216 | |
Jamesy Charles Smith, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 | |
Aditya Shrikhande, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 Fax: 573-705-1216 | |
Vladimir Melyakov, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-760-1020 | |
Scott David Kirkley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1106 Hazel Ln, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-760-8044 |