Gopi K Gundumalla, MD in Chillicothe, OH - Medicare Internal Medicine

Gopi K Gundumalla, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Chillicothe, Ohio. His current practice location is 4439 State Route 159, Ste 204, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 779-8728.

Gopi K Gundumalla is licensed to practice in Ohio (license number 35.094522) 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 1003887381.

Contact Information

	Gopi K Gundumalla, MD
	4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207
	(740) 779-8728
	(740) 779-8729

Map and Direction

Physician's Profile

Full Name	Gopi K Gundumalla
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	4439 State Route 159, Chillicothe, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003887381
Provider Enumeration Date: 01/27/2006
Last Update Date: 06/27/2012

Medicare PECOS Information:

PECOS PAC ID: 7911955901
Enrollment ID: I20050106000328

Medical Identifiers

Medical identifiers for Gopi K Gundumalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003887381	NPI	-	NPPES
3810016457	Medicaid	WV
64053077	Medicaid	KY
3011314	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	36942 (Kentucky)	Secondary
207RN0300X	Internal Medicine - Nephrology	35.094522 (Ohio)	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. Gopi K Gundumalla allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160803001623

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. Gopi K Gundumalla 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
Gopi K Gundumalla, MD 4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207 Ph: (740) 779-8728	Gopi K Gundumalla, MD 4439 State Route 159, Ste 204, Chillicothe, OH 45601-8207 Ph: (740) 779-8728

Reviews and Comments

Internal Medicine Doctors in Chillicothe, OH

Courtney E Little, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8840
Dr. Talal Seoud, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd Ste 225, Chillicothe, OH 45601 Phone: 740-779-8530
Dr. Gaven Michael Harper, DO Nephrology Medicare: Medicare Enrolled Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449
Reem Mohammad Kheiro Alshiyyab, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449
Dr. Laure Olutoyosi, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 214-693-0243
Bharat Gautam, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd Ste 150, Chillicothe, OH 45601 Phone: 740-779-8268

Gopi K Gundumalla, MD - Medicare Internal Medicine in Chillicothe, OH