Dr Vijay Kumar Kannam, MD in Gravette, AR

Dr Vijay Kumar Kannam, MD is a medicare enrolled "Family Medicine" physician in Gravette, Arkansas. His current practice location is 1101 Jackson St Sw, Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 787-5221.

Dr Vijay Kumar Kannam is licensed to practice in Arkansas (license number E-9316) 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 1699039610.

Contact Information

	Dr Vijay Kumar Kannam, MD
	1101 Jackson St Sw, Gravette, AR 72736-9121
	(479) 787-5221
	(479) 787-5613

Map and Direction

Physician's Profile

Full Name	Dr Vijay Kumar Kannam
Gender	Male
Speciality	Family Medicine
Location	1101 Jackson St Sw, Gravette, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699039610
Provider Enumeration Date: 06/25/2012
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5799080982
Enrollment ID: I20160225002279

Medical Identifiers

Medical identifiers for Dr Vijay Kumar Kannam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699039610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-9316 (Arkansas)	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 Vijay Kumar Kannam allows following entities to bill medicare on his behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20190905000100

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 Vijay Kumar Kannam 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 Vijay Kumar Kannam, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221	Dr Vijay Kumar Kannam, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221

Reviews and Comments

Family Medicine Doctors in Gravette, AR

Dr. David John Tucker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Dr. Nancy L Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Rayetta Eaton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404
Dr. William Frank Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Dr. Kenneth Marcus Poemoceah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1102 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613

Dr Vijay Kumar Kannam, MD - Medicare Family Medicine in Gravette, AR