Dr Tejaswi Venkata Mudigonda, MD - Medicare Dermatology in Lake Havasu City, AZ

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Dr Tejaswi Venkata Mudigonda, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Lake Havasu City, Arizona. He went to Vanderbilt University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Davishire Dermatology Llc, Advanced Diagnostic Imaging Pc, Thomas Dermatology and his current practice location is 1801 Mesquite Ave, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 854-5400.

Dr Tejaswi Venkata Mudigonda is licensed to practice in Arizona (license number 73704) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891143277.

Contact Information

Dr Tejaswi Venkata Mudigonda, MD
1801 Mesquite Ave,
Lake Havasu City, AZ 86403-5668
(928) 854-5400
(928) 216-4165

Map and Direction




Physician's Profile

Full NameDr Tejaswi Venkata Mudigonda
GenderMale
SpecialityDermatology
Experience10 Years
Location1801 Mesquite Ave, Lake Havasu City, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tejaswi Venkata Mudigonda attended and graduated from Vanderbilt University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1891143277
  • Provider Enumeration Date: 05/26/2016
  • Last Update Date: 07/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072936707
  • Enrollment ID: I20240625002559

Medical Identifiers

Medical identifiers for Dr Tejaswi Venkata Mudigonda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891143277NPI-NPPES
207R00000XMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 73704 (Arizona)Primary
207N00000XDermatology 68967 (Tennessee)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 68967 (Tennessee)Secondary
207ND0900XDermatology - Dermatopathology 68967 (Tennessee)Secondary
207NS0135XDermatology - Procedural Dermatology 68967 (Tennessee)Secondary

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 Tejaswi Venkata Mudigonda allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677
Entity NameDavishire Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811648066
PECOS PAC ID: 2860870979
Enrollment ID: O20220602000000
Entity NameIntegrated Skin Institute Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770351041
PECOS PAC ID: 7618410176
Enrollment ID: O20240625002217

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 Tejaswi Venkata Mudigonda 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 AddressPractice Location Address
Dr Tejaswi Venkata Mudigonda, MD
9097 W Post Rd Ste 100,
Las Vegas, NV 89148-2417

Ph: (928) 854-5400		Dr Tejaswi Venkata Mudigonda, MD
1801 Mesquite Ave,
Lake Havasu City, AZ 86403-5668

Ph: (928) 854-5400

Reviews and Comments


Dermatology Doctors in Lake Havasu City, AZ

Ms. Jade Marie Vinatieri, FNP-BC
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 2091 Smoketree Ave N Ste 103, Lake Havasu City, AZ 86403
Phone: 928-453-3332    
Dr. Donald P Kadunce, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 735 Little Dr, Lake Havasu City, AZ 86406
Phone: 602-692-2243    
William Goin Anderson, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2061 Smoketree Avenue, Lake Havasu City, AZ 86403
Phone: 928-453-3332    Fax: 928-453-1590

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.