| Dr Sumanth Punukollu, MD | |
|
5960 Siegen Ln, Apt 9110, Baton Rouge, LA 70809 | |
| (402) 218-9919 | |
| Not Available |
| Full Name | Dr Sumanth Punukollu |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 5960 Siegen Ln, Apt 9110, Baton Rouge, Louisiana |
| 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 |
|---|---|---|---|
| 1891919395 | NPI | - | NPPES |
| 1811068 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203358 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center-kenner | Kenner, LA | Hospital |
| Prevost Memorial Hospital | Donaldsonville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. John Emergency Group Llc | 4082641303 | 19 |
| Luling Emergency Group Llc | 8325352636 | 16 |
| Correct Care, Inc. | 8628980992 | 71 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
| Entity Name | Kenner Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013986546 PECOS PAC ID: 8426011230 Enrollment ID: O20041111000475 |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | St. John Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265401509 PECOS PAC ID: 4082641303 Enrollment ID: O20050719000541 |
| Entity Name | St Martin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
| Entity Name | Belle Chasse Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
| Entity Name | Luling Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528446101 PECOS PAC ID: 8325352636 Enrollment ID: O20150730013151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sumanth Punukollu, MD 5960 Siegen Ln , Apt 9110, Baton Rouge, LA 70809 Ph: (402) 218-9919 | Dr Sumanth Punukollu, MD 5960 Siegen Ln, Apt 9110, Baton Rouge, LA 70809 Ph: (402) 218-9919 |
Dr. Roderick A. Hart Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 North Blvd, Baton Rouge, LA 70806 Phone: 601-454-9462 | |
Dr. Brent Oliver Campanella, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5131 Essen Ln, Baton Rouge, LA 70809 Phone: 225-769-0043 Fax: 225-769-0133 | |
Robert Dwight Brower, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7037 Woodstock Dr, Baton Rouge, LA 70809 Phone: 225-975-8680 | |
Kristin Wemple Morvant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16777 Medical Center, Baton Rouge, LA 70816 Phone: 225-754-3278 | |
Dr. Tamika Session Mayo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3401 North Blvd, Ste 360, Baton Rouge, LA 70806 Phone: 225-381-2712 Fax: 225-381-2715 | |
Gregory F Ferrara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13828 Coursey Blvd, Baton Rouge, LA 70817 Phone: 225-751-1544 Fax: 225-751-1909 | |
James Michael Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7566 Picardy Ave, Baton Rouge, LA 70808 Phone: 225-765-5500 Fax: 225-256-1400 |