| Damodhar Nerella, MD | |
|
819 N Fant St, Anderson, SC 29621-5717 | |
| (864) 261-1800 | |
| (864) 261-1856 |
| Full Name | Damodhar Nerella |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 819 N Fant St, Anderson, South Carolina |
| 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 |
|---|---|---|---|
| 1396794145 | NPI | - | NPPES |
| 270414 | Medicaid | SC | |
| 097697620A | Other | GEORGIA MEDICAID | |
| P00855848 | Other | SC | RR MEDICARE EFF 10-10 |
| P00156020 | Other | SC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27041 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 98490 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pruitthealth Hospice-blue Ridge | Blue ridge, GA | Hospice |
| St Francis-downtown | Greenville, SC | Hospital |
| Pruitthealth - Blue Ridge | Blue ridge, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| Chronic Disease Management Of Georgia Llc | 7618306721 | 72 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710918321 PECOS PAC ID: 1951215243 Enrollment ID: O20031119000738 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Entity Name | Vitalen Inpatient Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083217616 PECOS PAC ID: 6901210418 Enrollment ID: O20210125001276 |
| Entity Name | Sc Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962161646 PECOS PAC ID: 4385022235 Enrollment ID: O20220604000384 |
| Entity Name | Pelzer Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619656352 PECOS PAC ID: 3779945571 Enrollment ID: O20230810002426 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699514620 PECOS PAC ID: 3678464633 Enrollment ID: O20240821000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Damodhar Nerella, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Damodhar Nerella, MD 819 N Fant St, Anderson, SC 29621-5717 Ph: (864) 261-1800 |
Sanjeev Kumar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 819 N Fant St, Anderson, SC 29621 Phone: 864-261-1800 Fax: 864-261-1856 |