Divakara Kedlaya, MD in Pueblo, CO - Medicare Physical Medicine And Rehabilitation

Divakara Kedlaya, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Pueblo, Colorado. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Lake County Tribal Health Consortium Inc and his current practice location is 1925 E Orman Ave, Suite A235, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 557-3666.

Divakara Kedlaya is licensed to practice in Illinois (license number 036147433) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1134104037.

Contact Information

	Divakara Kedlaya, MD
	1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537
	(719) 557-3666
	(719) 557-3633

Map and Direction

Physician's Profile

Full Name	Divakara Kedlaya
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	32 Years
Location	1925 E Orman Ave, Pueblo, Colorado
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Divakara Kedlaya graduated from medical school in 1992

NPI Data:

NPI Number: 1134104037
Provider Enumeration Date: 12/13/2005
Last Update Date: 02/06/2019

Medicare PECOS Information:

PECOS PAC ID: 7911905690
Enrollment ID: I20190226003120

Medical Identifiers

Medical identifiers for Divakara Kedlaya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134104037	NPI	-	NPPES
42809223	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	A055622 (California)	Secondary
208100000X	Physical Medicine & Rehabilitation	036147433 (Illinois)	Primary
208100000X	Physical Medicine & Rehabilitation	44383 (Colorado)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake County Tribal Health Consortium Inc	8729975545	25

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. Divakara Kedlaya allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. Divakara Kedlaya 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
Divakara Kedlaya, MD 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 Ph: (719) 557-3666	Divakara Kedlaya, MD 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 Ph: (719) 557-3666

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Pueblo, CO

Louis C Cabiling, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 635 Dittmer Ave, Pueblo, CO 81005 Phone: 719-671-0979 Fax: 719-583-5525
Mr. Brandon Wiley, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 58 Glen Royal Dr, Pueblo, CO 81005 Phone: 719-565-6678
Dr. Dwight Keither Caughfield, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 511 W 29th St, Suite B, Pueblo, CO 81008 Phone: 719-545-7802 Fax: 719-545-7804
Dr. Travis Downen, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 279 S Purcell Blvd # 116, Pueblo, CO 81007 Phone: 719-547-2481
Mr. Kenneth Morris, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-776-7846
Erika Jean Sesing, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd Ste 96, Pueblo, CO 81008 Phone: 719-562-6207

Divakara Kedlaya, MD - Medicare Physical Medicine And Rehabilitation in Pueblo, CO