Surekha Venkata Kotapothula, MD | |
4th And Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | |
(717) 270-4876 | |
(717) 270-3875 |
Full Name | Surekha Venkata Kotapothula |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 4th And Walnut Streets, Lebanon, Pennsylvania |
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 |
---|---|---|---|
1184800781 | NPI | - | NPPES |
102327998 0004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD437413 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD437413 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Berkeley Medical Center | Martinsburg, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalist Medicine Physicians Of West Virginia, Pllc | 2860674488 | 63 |
Entity Name | Hospitalist Medicine Physicians Of West Virginia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157 |
Entity Name | Hospitalist Medicine Physicians Of West Virginia- Tcg Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386122844 PECOS PAC ID: 1557748092 Enrollment ID: O20220523000150 |
Mailing Address | Practice Location Address |
---|---|
Surekha Venkata Kotapothula, MD Po Box 300, Lebanon, PA 17042-0300 Ph: (717) 270-7780 | Surekha Venkata Kotapothula, MD 4th And Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 Ph: (717) 270-4876 |
Nagamani Pullepu, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 | |
Qalb Khan, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Patricia Guzowski, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 N 4th St Fl 1, Lebanon, PA 17046 Phone: 717-270-7500 Fax: 717-721-8751 | |
Dr. Helen Funmilayo Makinde-ajayi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
David Momand, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Alex Mathew Jr., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-270-1949 | |
Dr. Yanfang Guan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 |