Dr Venkata Surya Phani Bhushan Durvasula, MD is a medicare enrolled "Otolaryngology" physician in El Dorado, Arkansas. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
403 W Oak St Ste 105, El Dorado, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 639-8105.
Dr Venkata Surya Phani Bhushan Durvasula is licensed to practice in Arkansas (license number E-7645) 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 1770861478.
Physician's Profile
| Full Name | Dr Venkata Surya Phani Bhushan Durvasula |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 32 Years |
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| Location | 403 W Oak St Ste 105, El Dorado, Arkansas |
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| 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 Venkata Surya Phani Bhushan Durvasula graduated from medical school in 1994
NPI Data:
- NPI Number: 1770861478
- Provider Enumeration Date: 07/28/2011
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567608573
- Enrollment ID: I20130418000006
Medical Identifiers
Medical identifiers for Dr Venkata Surya Phani Bhushan Durvasula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770861478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | E-7645 (Arkansas) | Primary |
Medical Facilities Affiliation
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 Venkata Surya Phani Bhushan Durvasula allows following entities to bill medicare on his behalf.
| Entity Name | University Of Arkansas For Medical Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
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| Entity Name | South Arkansas Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427018704 PECOS PAC ID: 0749273670 Enrollment ID: O20040406001623 |
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| Entity Name | Jaiarka Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730844168 PECOS PAC ID: 5991197576 Enrollment ID: O20220111000287 |
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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 Venkata Surya Phani Bhushan Durvasula 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 Venkata Surya Phani Bhushan Durvasula, MD 403 W Oak St Ste 105, El Dorado, AR 71730-4573 Ph: (870) 639-8105 | Dr Venkata Surya Phani Bhushan Durvasula, MD 403 W Oak St Ste 105, El Dorado, AR 71730-4573 Ph: (870) 639-8105 |
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