Dr Chandrasekhara Rao Punukollu, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Mount Pleasant, Pennsylvania. He graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Excela Health Physician Practices, Inc and his current practice location is
508 S Church St Ste 100, Mount Pleasant, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 547-7212.
Dr Chandrasekhara Rao Punukollu is licensed to practice in Pennsylvania (license number MD041732L) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912014549.
Physician's Profile
| Full Name | Dr Chandrasekhara Rao Punukollu |
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| Gender | Male |
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| Speciality | Gastroenterology |
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| Experience | 46 Years |
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| Location | 508 S Church St Ste 100, Mount Pleasant, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chandrasekhara Rao Punukollu graduated from medical school in 1979
NPI Data:
- NPI Number: 1912014549
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 02/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022905405
- Enrollment ID: I20040301001002
Medical Identifiers
Medical identifiers for Dr Chandrasekhara Rao Punukollu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912014549 | NPI | - | NPPES |
| 0012140750004 | Medicaid | PA | |
| 0012140750009 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | MD041732L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Excela Health Physician Practices, Inc | 6204737117 | 447 |
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. Dr Chandrasekhara Rao Punukollu allows following entities to bill medicare on his behalf.
| Entity Name | Excela Health Physician Practices, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821225202
PECOS PAC ID: 6204737117
Enrollment ID: O20040322001393 |
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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. Dr Chandrasekhara Rao Punukollu 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 |
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Dr Chandrasekhara Rao Punukollu, MD
508 S Church St Ste 100,
Mt Pleasant, PA 15666-1702
Ph: (724) 547-7212 | Dr Chandrasekhara Rao Punukollu, MD
508 S Church St Ste 100,
Mount Pleasant, PA 15666-1702
Ph: (724) 547-7212 |
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