Dr Deepthi Koralla, DO in Decatur, GA

Dr Deepthi Koralla, DO is a medicare enrolled "Hospitalist" physician in Decatur, Georgia. Her current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 501-1000.

Dr Deepthi Koralla is licensed to practice in Georgia (license number 101075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174109078.

Contact Information

	Dr Deepthi Koralla, DO
	2701 N Decatur Rd, Decatur, GA 30033-5918
	(404) 501-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Deepthi Koralla
Gender	Female
Speciality	Hospitalist
Location	2701 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174109078
Provider Enumeration Date: 03/22/2021
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2163828815
Enrollment ID: I20241112002701

Medical Identifiers

Medical identifiers for Dr Deepthi Koralla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174109078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OT020792 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	101075 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208M00000X	Hospitalist	101075 (Georgia)	Primary

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 Deepthi Koralla allows following entities to bill medicare on her behalf.

Entity Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447

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 Deepthi Koralla 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
Dr Deepthi Koralla, DO 1007 Autumn River Run, Philadelphia, PA 19128-4362 Ph: (614) 717-5665	Dr Deepthi Koralla, DO 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-1000

Reviews and Comments

Hospitalist Doctors in Decatur, GA

Dr. Ijeoma Ejigiri, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2124 Candler Rd, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-666-0038
Dr. Joyce A. Akwe, MD, MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Service Line 111, Decatur, GA 30033 Phone: 404-321-6111
Dr. Amy Miller, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Road, Decatur, GA 30033 Phone: 404-321-6111
Scott J Akin, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Jennifer Nicole Larson, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Melissa Joan Murgas Lindsay, MSN, AGACNP-BC Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 N Candler St, Decatur, GA 30030 Phone: 404-501-6226
Chuan-xing Ho, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000

Dr Deepthi Koralla, DO - Medicare Hospitalist in Decatur, GA