| Dr Praveen Potluru, MD | |
|
1144 N Road St, Albemarle Hospital Dept. Of Anesthesia, Elizabeth City, NC 27909-3473 | |
| (252) 384-4800 | |
| (252) 384-4009 |
| Full Name | Dr Praveen Potluru |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 1144 N Road St, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225283815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 200801837 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sarmc Anesthesia Specialist Llc | 5294032413 | 37 |
| Entity Name | Albemarle Physician Services - Sentara Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942443130 PECOS PAC ID: 8729139852 Enrollment ID: O20090630000446 |
| Entity Name | Sarmc Anesthesia Specialist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295194397 PECOS PAC ID: 5294032413 Enrollment ID: O20160401000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Praveen Potluru, MD 1144 N Road St, Albemarle Hospital Dept. Of Anesthesia, Elizabeth City, NC 27909-3473 Ph: (252) 384-4800 | Dr Praveen Potluru, MD 1144 N Road St, Albemarle Hospital Dept. Of Anesthesia, Elizabeth City, NC 27909-3473 Ph: (252) 384-4800 |
Vincent J Kopp, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1144 N Road St, Elizabeth City, NC 27909 Phone: 252-335-0531 | |
Thomas Maxwell Geddings, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St, Elizabeth City, NC 27909 Phone: 252-335-0531 | |
Dr. Daniel Patrick Mulcrone, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St, Elizabeth City, NC 27909 Phone: 919-270-9476 | |
Daniel Shea, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St, Elizabeth City, NC 27909 Phone: 252-335-0531 |