Dr Tejaswi Venkata Mudigonda, MD in Lebanon, TN

Dr Tejaswi Venkata Mudigonda, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Lebanon, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Csi Medical Group and his current practice location is 1424 W Baddour Pkwy Ste G, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 314-1699.

Dr Tejaswi Venkata Mudigonda is licensed to practice in Tennessee (license number 68967) 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
	1424 W Baddour Pkwy Ste G, Lebanon, TN 37087-2685
	(615) 314-1699
	(615) 622-8905

Map and Direction

Physician's Profile

Full Name	Dr Tejaswi Venkata Mudigonda
Gender	Male
Speciality	Dermatology
Experience	8 Years
Location	1424 W Baddour Pkwy Ste G, Lebanon, Tennessee
Accepts Medicare Assignments	Yes. 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: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3072936707
Enrollment ID: I20200714000184

Medical Identifiers

Medical identifiers for Dr Tejaswi Venkata Mudigonda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891143277	NPI	-	NPPES
207R00000X	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	68967 (Tennessee)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	68967 (Tennessee)	Secondary
207N00000X	Dermatology	68967 (Tennessee)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	68967 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Csi Medical Group	5890916845	103

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 Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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 Address	Practice Location Address
Dr Tejaswi Venkata Mudigonda, MD 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087-2685 Ph: (615) 314-1699	Dr Tejaswi Venkata Mudigonda, MD 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087-2685 Ph: (615) 314-1699

Reviews and Comments

Dermatology Doctors in Lebanon, TN

Dr. Charles Austin Mitchell Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 206b Babb Dr, Lebanon, TN 37087 Phone: 615-443-4112
Dr. David Elliot Roffwarg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740
Joey S Price, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740
Jessica A Barron, Dermatology Medicare: Medicare Enrolled Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771
Julie M Countess, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740

Dr Tejaswi Venkata Mudigonda, MD - Medicare Dermatology in Lebanon, TN