| Dr Charan Mungara, MD | |
|
353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, SD 57701-7375 | |
| (205) 441-9459 | |
| (605) 755-0707 |
| Full Name | Dr Charan Mungara |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 23 Years |
| Location | 353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, South Dakota |
| 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 |
|---|---|---|---|
| 1649423872 | NPI | - | NPPES |
| 201029750 | Medicaid | IN | |
| 000000727503 | Other | IN | ANTHEM PROVIDER NUMBER |
| 1649423872 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 11971 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Fall River Hospital - Cah | Hot springs, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Rapid City Hospital Inc | 6002729506 | 488 |
| Monument Health Rapid City Hospital Inc | 6002729506 | 488 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charan Mungara, MD 353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, SD 57701-7375 Ph: (205) 441-9459 | Dr Charan Mungara, MD 353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, SD 57701-7375 Ph: (205) 441-9459 |
Paul M Orecchia, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 4150 Fifth Street, Rapid City, SD 57701 Phone: 605-399-4300 Fax: 605-399-4352 | |
Tommaso Cambiaghi, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 281-236-4711 | |
Robert T Gordon, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4150 5th St, Rapid City, SD 57701 Phone: 605-399-4300 Fax: 605-399-4352 |