| Dr Divya Lakshmi Indrakanti, MD | |
|
112 Stonebridge Blvd, Jackson, TN 38305-2038 | |
| (731) 664-1994 | |
| Not Available |
| Full Name | Dr Divya Lakshmi Indrakanti |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 6 Years |
| Location | 112 Stonebridge Blvd, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396208781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD0000069208 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Eye Associates Pc | 4789780495 | 8 |
| Entity Name | West Tennessee Eye Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811054232 PECOS PAC ID: 4789780495 Enrollment ID: O20081031000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Divya Lakshmi Indrakanti, MD 198 Moses Dr, Jackson, TN 38305-6938 Ph: (513) 652-0502 | Dr Divya Lakshmi Indrakanti, MD 112 Stonebridge Blvd, Jackson, TN 38305-2038 Ph: (731) 664-1994 |
Stephen Dumas Hammond Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 | |
Dr. William Bradford Priester, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 609 Skyline Dr, Jackson, TN 38301 Phone: 731-427-7799 Fax: 731-427-1476 | |
Dr. Mark Roy Bateman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444 | |
Mrs. Hilary C. Grissom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444 | |
James Alfred Price Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 668 Skyline Drive, Jackson, TN 38301 Phone: 731-424-2414 | |
Laura L Dipuma, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2027 Greystone Sq, Jackson, TN 38305 Phone: 731-668-6882 Fax: 731-668-6882 |