| Dr Vinod Gollapalli, MD | |
|
120 W Calle De Las Tiendas, Green Valley, AZ 85614-4326 | |
| (520) 990-9960 | |
| (520) 686-7636 |
| Full Name | Dr Vinod Gollapalli |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 120 W Calle De Las Tiendas, Green Valley, Arizona |
| 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 |
|---|---|---|---|
| 1104055185 | NPI | - | NPPES |
| 04534938 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R-8752 (Iowa) | Secondary |
| 208600000X | Surgery | 285906 (New York) | Secondary |
| 208600000X | Surgery | 53835 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Hospital | Tucson, AZ | Hospital |
| Entity Name | Arizona Advanced Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730746843 PECOS PAC ID: 8325371685 Enrollment ID: O20190531001792 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vinod Gollapalli, MD 1160 S Castar Dr, Tucson, AZ 85745-4505 Ph: (520) 358-4087 | Dr Vinod Gollapalli, MD 120 W Calle De Las Tiendas, Green Valley, AZ 85614-4326 Ph: (520) 990-9960 |
Dawn Renee Elliott, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 W Calle De Las Tiendas, Green Valley, AZ 85614 Phone: 520-570-7884 Fax: 520-844-6773 | |
Jason Wayne Nielsen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1930 N La Canada Dr Ste 2, Green Valley, AZ 85614 Phone: 520-545-0592 |