Dr Kiranmai Bandaru, MD in Breaux Bridge, LA

Dr Kiranmai Bandaru, MD is a medicare enrolled "Pediatrics" physician in Breaux Bridge, Louisiana. Her current practice location is 555 Lakes Blvd, Breaux Bridge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 332-3971.

Dr Kiranmai Bandaru is licensed to practice in Louisiana (license number MD.203991) 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 1104159243.

Contact Information

	Dr Kiranmai Bandaru, MD
	555 Lakes Blvd, Breaux Bridge, LA 70517-3240
	(337) 332-3971
	(337) 332-3973

Map and Direction

Physician's Profile

Full Name	Dr Kiranmai Bandaru
Gender	Female
Speciality	Pediatrics
Location	555 Lakes Blvd, Breaux Bridge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104159243
Provider Enumeration Date: 09/08/2009
Last Update Date: 09/10/2016

Medicare PECOS Information:

PECOS PAC ID: 8426452848
Enrollment ID: I20210807000111

Medical Identifiers

Medical identifiers for Dr Kiranmai Bandaru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104159243	NPI	-	NPPES
2125532	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	003436 (New York)	Secondary
208000000X	Pediatrics	MD.203991 (Louisiana)	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 Kiranmai Bandaru allows following entities to bill medicare on her behalf.

Entity Name	Sunshine Pediatric And Family Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619618964 PECOS PAC ID: 9436536265 Enrollment ID: O20220517003049

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 Kiranmai Bandaru 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 Kiranmai Bandaru, MD 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 Ph: (337) 330-0031	Dr Kiranmai Bandaru, MD 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 Ph: (337) 332-3971

Reviews and Comments

Pediatrics Doctors in Breaux Bridge, LA

Dr. Srinivasa Reddy Yerasi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-3971 Fax: 337-332-3973
Dr. Gregory Lyon Glowacki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1555 Gary Dr Ste A, Breaux Bridge, LA 70517 Phone: 337-909-2474 Fax: 337-909-2479

Dr Kiranmai Bandaru, MD - Medicare Pediatrics in Breaux Bridge, LA