Jaganmohan R Vemulapalli, MD is a medicare enrolled "Urology" physician in Bryan, Ohio. His current practice location is
442 West High Street, Midwest Community Health Associates, Bryan, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 636-4517.
Jaganmohan R Vemulapalli is licensed to practice in Ohio (license number 35046091) 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 1083631063.
Physician's Profile
| Full Name | Jaganmohan R Vemulapalli |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 442 West High Street, Bryan, Ohio |
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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: 1083631063
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 06/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 0143318899
- Enrollment ID: I20090123000346
Medical Identifiers
Medical identifiers for Jaganmohan R Vemulapalli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083631063 | NPI | - | NPPES |
| 0457894 | Medicaid | OH | |
| 340006104 | Other | OH | RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 35046091 (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. Jaganmohan R Vemulapalli allows following entities to bill medicare on his behalf.
| Entity Name | Tri-valley Urology Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659471746 PECOS PAC ID: 2668449125 Enrollment ID: O20040914000598 |
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| Entity Name | Tri-valley Urology Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659471746 PECOS PAC ID: 2668449125 Enrollment ID: O20091215000216 |
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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. Jaganmohan R Vemulapalli 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 |
Jaganmohan R Vemulapalli, MD 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506-1681 Ph: (419) 636-4517 | Jaganmohan R Vemulapalli, MD 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506-1681 Ph: (419) 636-4517 |
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