Dr Vijaya Madhavi Koduri, MBBS in Laramie, WY

Dr Vijaya Madhavi Koduri, MBBS is a medicare enrolled "Pediatrics" physician in Laramie, Wyoming. Her current practice location is 1252 N 22nd St, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 745-3704.

Dr Vijaya Madhavi Koduri is licensed to practice in Wyoming (license number 9303A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558672253.

Contact Information

	Dr Vijaya Madhavi Koduri, MBBS
	1252 N 22nd St, Laramie, WY 82072-5306
	(307) 745-3704
	(307) 745-7237

Map and Direction

Physician's Profile

Full Name	Dr Vijaya Madhavi Koduri
Gender	Female
Speciality	Pediatrics
Location	1252 N 22nd St, Laramie, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558672253
Provider Enumeration Date: 06/28/2010
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6305182874
Enrollment ID: I20190104001512

Medical Identifiers

Medical identifiers for Dr Vijaya Madhavi Koduri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558672253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9303A (Wyoming)	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 Vijaya Madhavi Koduri allows following entities to bill medicare on her behalf.

Entity Name	Ivinson Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021

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 Vijaya Madhavi Koduri 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 Vijaya Madhavi Koduri, MBBS Po Box 3046, Gillette, WY 82717-3046 Ph: (307) 688-2600	Dr Vijaya Madhavi Koduri, MBBS 1252 N 22nd St, Laramie, WY 82072-5306 Ph: (307) 745-3704

Reviews and Comments

Pediatrics Doctors in Laramie, WY

Kent Kleppinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1252 N 22nd St, Suite B, Laramie, WY 82072 Phone: 307-745-3704 Fax: 307-745-7237
Kelly Ginger Follett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-755-4540
John Scott Harris, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1353 N 5th St, Laramie, WY 82072 Phone: 509-254-1237
Debra Mae Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 E Harney St Suite 100, Laramie Physicians For Children, Laramie, WY 82072 Phone: 307-721-3118 Fax: 307-721-4880
Dr. Joanne E. Steane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E University Ave, Dept. 3068, Laramie, WY 82071 Phone: 307-766-2130 Fax: 307-766-2711

Dr Vijaya Madhavi Koduri, MBBS - Medicare Pediatrics in Laramie, WY