Chandana Vavilala, MD is a medicare enrolled "Internal Medicine" physician in Saint John, Indiana. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Franciscan Physician Network, Select Rehabilitation Llc and her current practice location is
10860 Maple Ln, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 365-7000.
Chandana Vavilala is licensed to practice in Indiana (license number 01057596A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548230113.
Physician's Profile
| Full Name | Chandana Vavilala |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 32 Years |
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| Location | 10860 Maple Ln, Saint John, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chandana Vavilala graduated from medical school in 1993
NPI Data:
- NPI Number: 1548230113
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406809904
- Enrollment ID: I20050224000541
Medical Identifiers
Medical identifiers for Chandana Vavilala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548230113 | NPI | - | NPPES |
| 200496780 | Medicaid | IN | |
| 00000072193 | Other | IN | ANTHEM TRADITIONAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 01057596A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Franciscan Physician Network | 3072790682 | 1041 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
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. Chandana Vavilala allows following entities to bill medicare on her behalf.
| Entity Name | Franciscan Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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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. Chandana Vavilala 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 |
Chandana Vavilala, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Chandana Vavilala, MD 10860 Maple Ln, Saint John, IN 46373-8418 Ph: (219) 365-7000 |
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