Dr Vidyasagar Gurram Reddy, is a medicare enrolled "Emergency Medicine" physician in Carthage, Texas. His current practice location is
409 Cottage Rd, Carthage, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 253-2485.
Dr Vidyasagar Gurram Reddy is licensed to practice in Texas (license number L8915) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598719973.
Physician's Profile
| Full Name | Dr Vidyasagar Gurram Reddy |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 409 Cottage Rd, Carthage, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598719973
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 11/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204807860
- Enrollment ID: I20040805000642
Medical Identifiers
Medical identifiers for Dr Vidyasagar Gurram Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598719973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | L8915 (Texas) | Primary |
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 Vidyasagar Gurram Reddy allows following entities to bill medicare on his behalf.
| Entity Name | Wellness & Care Group Of Texas, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487964870 PECOS PAC ID: 8921287475 Enrollment ID: O20110128001026 |
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| Entity Name | Ess Of South Texas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
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| Entity Name | Ess Of Fairfield Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588132856 PECOS PAC ID: 9234475526 Enrollment ID: O20190108000545 |
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| Entity Name | Ess Of Crockett, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649988635 PECOS PAC ID: 3678942778 Enrollment ID: O20221213000258 |
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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 Vidyasagar Gurram Reddy 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 Vidyasagar Gurram Reddy, 3411 Storey Lake Dr, Tyler, TX 75707-1761 Ph: () - | Dr Vidyasagar Gurram Reddy, 409 Cottage Rd, Carthage, TX 75633-1466 Ph: (903) 253-2485 |
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