Dr Nithyananda Pakkala, MD - Medicare Family Practice in Bolivar, TN

Dr Nithyananda Pakkala, MD is a medicare enrolled "Family Medicine" physician in Bolivar, Tennessee. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Family Practice. His current practice location is 630 Nuckolls Rd, Bolivar, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 658-6011.

Dr Nithyananda Pakkala is licensed to practice in Tennessee (license number MD9916) 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 1578558607.

Contact Information

Dr Nithyananda Pakkala, MD
630 Nuckolls Rd,
Bolivar, TN 38008-1532
(731) 658-6011
(731) 658-9884

Map and Direction




Physician's Profile

Full NameDr Nithyananda Pakkala
GenderMale
SpecialityFamily Practice
Experience56 Years
Location630 Nuckolls Rd, Bolivar, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nithyananda Pakkala graduated from medical school in 1968
  NPI Data:
  • NPI Number: 1578558607
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 12/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3274774658
  • Enrollment ID: I20130726000746

Medical Identifiers

Medical identifiers for Dr Nithyananda Pakkala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578558607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD9916 (Tennessee)Primary
208600000XSurgery MD9916 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Bolivar General HospitalBolivar, TNHospital

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 Nithyananda Pakkala allows following entities to bill medicare on his behalf.
Entity NameY N Pakkala Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841555141
PECOS PAC ID: 6002057486
Enrollment ID: O20130726000733

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 Nithyananda Pakkala 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 AddressPractice Location Address
Dr Nithyananda Pakkala, MD
630 Nuckolls Rd,
Bolivar, TN 38008-1532

Ph: (731) 658-6011
Dr Nithyananda Pakkala, MD
630 Nuckolls Rd,
Bolivar, TN 38008-1532

Ph: (731) 658-6011

Reviews and Comments


Family Medicine Doctors in Bolivar, TN

Dr. Robert Wayne Dunavant, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-7111    Fax: 731-658-4328
Dr. John Lee Blankenship, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Dr. Samuel Terry Johnson Jr., M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Lawrence Diaz, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Olufemi E Soyinka, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Mrs. Holly Brooke Shourd, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1359 W Market St., Bolivar, TN 38008
Phone: 731-361-1003    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.