Krishnamraju Kosuru, MD in Joplin, MO

Krishnamraju Kosuru, MD is a medicare enrolled "Pediatrics" physician in Joplin, Missouri. His current practice location is 3126 S Jackson Ave, Suite 100, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 556-3416.

Krishnamraju Kosuru is licensed to practice in Missouri (license number 2015040888) 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 1013204296.

Contact Information

	Krishnamraju Kosuru, MD
	3126 S Jackson Ave, Suite 100, Joplin, MO 64804-2534
	(417) 556-3416
	(417) 556-3417

Map and Direction

Physician's Profile

Full Name	Krishnamraju Kosuru
Gender	Male
Speciality	Pediatrics
Location	3126 S Jackson Ave, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013204296
Provider Enumeration Date: 07/07/2011
Last Update Date: 01/14/2016

Medicare PECOS Information:

PECOS PAC ID: 2264743053
Enrollment ID: I20160112002271

Medical Identifiers

Medical identifiers for Krishnamraju Kosuru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013204296	NPI	-	NPPES
200622340A	Medicaid	OK
1013204296	Medicaid	MO
PENDING	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2015040888 (Missouri)	Primary
208000000X	Pediatrics	0437804 (Kansas)	Secondary

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. Krishnamraju Kosuru allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Joplin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092

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. Krishnamraju Kosuru 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
Krishnamraju Kosuru, MD Po Box 504944, Saint Louis, MO 63150-4944 Ph: (417) 829-4620	Krishnamraju Kosuru, MD 3126 S Jackson Ave, Suite 100, Joplin, MO 64804-2534 Ph: (417) 556-3416

Reviews and Comments

Pediatrics Doctors in Joplin, MO

Kimra Ross, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 2, Joplin, MO 64804 Phone: 417-782-9393 Fax: 417-782-4659
Rayni L Teeter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3126 Wisconsin Ave, Joplin, MO 64804 Phone: 417-626-7337 Fax: 417-731-3082
Kelly Jo Meier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866
Lindsey Rae Mcclintick, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1030 Mcintosh Cir Ste 1, Joplin, MO 64804 Phone: 417-347-8750
Caitlin Busch, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 202 E 50th St, Joplin, MO 64804 Phone: 417-556-3400
Dr. Kelly S Gorman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 1, Joplin, MO 64804 Phone: 417-347-8750 Fax: 417-347-8788

Krishnamraju Kosuru, MD - Medicare Pediatrics in Joplin, MO