Dr Latchaiah Chirumamilla, MD is a medicare enrolled "Emergency Medicine" physician in Salem, Indiana. He graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Vincent Medical Group Inc and his current practice location is
102 Connie Ave Ste 204, Salem, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 755-4443.
Dr Latchaiah Chirumamilla is licensed to practice in Indiana (license number 01046148A) 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 1114987583.
Physician's Profile
| Full Name | Dr Latchaiah Chirumamilla |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 38 Years |
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| Location | 102 Connie Ave Ste 204, Salem, Indiana |
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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 Latchaiah Chirumamilla graduated from medical school in 1988
NPI Data:
- NPI Number: 1114987583
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072668177
- Enrollment ID: I20090825000520
Medical Identifiers
Medical identifiers for Dr Latchaiah Chirumamilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114987583 | NPI | - | NPPES |
| 200189350 | Medicaid | IN | |
| 199040 | Other | IN | MEDICARE OLD PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01046148A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01046148A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Vincent Medical Group Inc | 7012047640 | 673 |
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 Latchaiah Chirumamilla allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144513375
PECOS PAC ID: 7012047640
Enrollment ID: O20100609000045 |
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| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611 |
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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 Latchaiah Chirumamilla 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 Latchaiah Chirumamilla, MD
102 Connie Ave Ste 204,
Salem, IN 47167-2313
Ph: () - | Dr Latchaiah Chirumamilla, MD
102 Connie Ave Ste 204,
Salem, IN 47167-2313
Ph: (812) 755-4443 |
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