| Dr Manga Devi Kodali, MD | |
|
4055 Gateway Blvd, Newburgh, IN 47630-8947 | |
| (812) 858-3051 | |
| (812) 858-3060 |
| Full Name | Dr Manga Devi Kodali |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 29 Years |
| Location | 4055 Gateway Blvd, Newburgh, Indiana |
| 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 |
|---|---|---|---|
| 1881635118 | NPI | - | NPPES |
| 00126843 | Medicaid | MS | |
| 279823900 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Women's Hospital The | Newburgh, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Specialty Physicians, Inc | 0244595205 | 125 |
| Good Samaritan Hospital Physician Services, Inc | 3971671330 | 123 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Entity Name | Deaconess Specialty Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306344817 PECOS PAC ID: 0244595205 Enrollment ID: O20180702001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manga Devi Kodali, MD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 450-6815 | Dr Manga Devi Kodali, MD 4055 Gateway Blvd, Newburgh, IN 47630-8947 Ph: (812) 858-3051 |
Dr. Robert Ernest Swaney Iii, MD, MSPH, FACP Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Dr. Maruthi Srikanth Penumetsa, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd # 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7919 | |
Dr. Frank X Pamelia, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 4007 Gateway Blvd, Ste100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-5536 | |
Dr. Prasanna Lakshmi Yelamanchili, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7054 | |
Dr. Leslie Rae Pike Brown, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Mr. Mohammad Bashar Mourad, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9355 Warrick Trl, Newburgh, IN 47630 Phone: 270-689-1919 Fax: 270-689-1990 | |
Mr. Ashwin Sabarivijay Durairaj, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd, Newburgh, IN 47630 Phone: 812-464-9133 Fax: 812-464-0559 |