Dr Santhisree Kopalli, MD is a medicare enrolled "Pediatrics" physician in Aubrey, Texas. Her current practice location is
27045 E University Dr Ste 1b, Aubrey, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 303-2330.
Dr Santhisree Kopalli is licensed to practice in Texas (license number P7792) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043538689.
Physician's Profile
Full Name | Dr Santhisree Kopalli |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 27045 E University Dr Ste 1b, Aubrey, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043538689
- Provider Enumeration Date: 05/06/2010
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800115163
- Enrollment ID: I20250508000393
Medical Identifiers
Medical identifiers for Dr Santhisree Kopalli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043538689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | P7792 (Texas) | Primary |
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 Santhisree Kopalli allows following entities to bill medicare on her behalf.
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
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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 Santhisree Kopalli 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 Santhisree Kopalli, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Santhisree Kopalli, MD 27045 E University Dr Ste 1b, Aubrey, TX 76227-2746 Ph: (682) 303-2330 |
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