| Dr Venkata Kr Bodavula, MD | |
|
5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 | |
| (636) 373-9882 | |
| Not Available |
| Full Name | Dr Venkata Kr Bodavula |
|---|---|
| Gender | Male |
| Speciality | Hand Surgery |
| Experience | 27 Years |
| Location | 5600 Mexico Rd Ste 21, Saint Peters, Missouri |
| 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 |
|---|---|---|---|
| 1275714784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0105X | Surgery - Surgery Of The Hand | 2010007564 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aging Well Health Care, Llc | 1153232038 | 189 |
| Bodavula Md Llc | 4587983697 | 2 |
| Entity Name | Bodavula Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790183077 PECOS PAC ID: 4587983697 Enrollment ID: O20150512000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Venkata Kr Bodavula, MD 3394 Mckelvey Rd Ste 115, Bridgeton, MO 63044-2531 Ph: (636) 373-9882 | Dr Venkata Kr Bodavula, MD 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 Ph: (636) 373-9882 |
Jerad Miller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Jungermann Cir Ste 205, Saint Peters, MO 63376 Phone: 636-916-7100 | |
Dr. Kurt Andrew Piening Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7110 | |
Gordon C Knight, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd Ste 103, Saint Peters, MO 63376 Phone: 314-909-0747 Fax: 844-535-9135 |