| Dr Bhupala Raju Kallepalli, MD | |
|
715 Houston St, Plainview, TX 79072-7905 | |
| (806) 291-4470 | |
| (806) 293-7170 |
| Full Name | Dr Bhupala Raju Kallepalli |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 45 Years |
| Location | 715 Houston St, Plainview, Texas |
| 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 |
|---|---|---|---|
| 1063450633 | NPI | - | NPPES |
| 125351004 | Medicaid | TX | |
| 84620Y | Other | TX | BCBS |
| 116360100 | Other | TX | FIRSTCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | K1492 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K1492 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Hospital Plainview | Plainview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Plains Center For Mental Health Mental Retardation And Sa | 0941232979 | 4 |
| Entity Name | Central Plains Center For Mental Health Mental Retardation & Sa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861589772 PECOS PAC ID: 0941232979 Enrollment ID: O20050909000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bhupala Raju Kallepalli, MD 2700 Yonkers St, Plainview, TX 79072-1826 Ph: (806) 293-2636 | Dr Bhupala Raju Kallepalli, MD 715 Houston St, Plainview, TX 79072-7905 Ph: (806) 291-4470 |
Mr. Victor Asaldo Gutierrez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 715 Houston St, Plainview, TX 79072 Phone: 806-296-5327 Fax: 806-296-5133 | |
John Simonds, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2700 Yonkers St, Plainview, TX 79072 Phone: 806-293-2636 Fax: 806-296-5804 |