| Dr Sailaja Tummala, MD | |
|
755 Cowan Drive, Lebanon, MO 65536 | |
| (417) 532-2805 | |
| (417) 532-2865 |
| Full Name | Dr Sailaja Tummala |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 755 Cowan Drive, Lebanon, Missouri |
| 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 |
|---|---|---|---|
| 1174690630 | NPI | - | NPPES |
| 35322100 | Medicaid | WI | |
| 206520504 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2011022971 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care | Springfield, MO | Home health agency |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 114 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sailaja Tummala, MD 1622 W Caleb Ct, Springfield, MO 65810-1525 Ph: () - | Dr Sailaja Tummala, MD 755 Cowan Drive, Lebanon, MO 65536 Ph: (417) 532-2805 |
Rosana Mendoza Lim-javate, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 341 Hospital Dr., Family Health Associates, P.c., Lebanon, MO 65536 Phone: 417-588-3918 | |
Dr. John C. Tabb, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 | |
Dr. Micheal J Durham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Dr, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848 | |
Dr. Jennifer S. Powell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Philip V. Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Mary A Kurek, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |