Lavanya Boddu, MD - Medicare Emergency Medicine in Mattoon, IL

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Lavanya Boddu, MD is a medicare enrolled "Family Medicine" physician in Mattoon, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Carle Health Care Incorporated, City Medical Of Upper East Side Pllc and her current practice location is 2512 Hurst Dr Ste 120, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-7590.

Lavanya Boddu is licensed to practice in Illinois (license number 036121313) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851503833.

Contact Information

Lavanya Boddu, MD
2512 Hurst Dr Ste 120,
Mattoon, IL 61938-9200
(217) 258-7590
(217) 258-3686

Map and Direction




Physician's Profile

Full NameLavanya Boddu
GenderFemale
SpecialityEmergency Medicine
Experience16 Years
Location2512 Hurst Dr Ste 120, Mattoon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lavanya Boddu attended and graduated from Southern Illinois University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1851503833
  • Provider Enumeration Date: 05/04/2007
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486712866
  • Enrollment ID: I20081029000575

Medical Identifiers

Medical identifiers for Lavanya Boddu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851503833NPI-NPPES
036121313OtherILBLUE SHIELD
036121313-1MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-121313 (Illinois)Secondary
207Q00000XFamily Medicine 036121313 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Carle Foundation HospitalUrbana, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated3577515774808
City Medical Of Upper East Side Pllc0648465039759

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. Lavanya Boddu allows following entities to bill medicare on her behalf.
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366480873
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Lavanya Boddu 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 AddressPractice Location Address
Lavanya Boddu, MD
611 W Park St, Fapc,
Urbana, IL 61801

Ph: (217) 789-1403		Lavanya Boddu, MD
2512 Hurst Dr Ste 120,
Mattoon, IL 61938-9200

Ph: (217) 258-7590

Reviews and Comments


Family Medicine Doctors in Mattoon, IL

Dr. Dominic Perrino, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-238-4325    Fax: 217-348-4290
Andrew Robert Gage, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938
Phone: 217-234-5110    
Jagan Mohan Reddy Bokka I, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-238-4325    Fax: 217-348-4290
Robert Wochner, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Health Center Drive, Suite 103, Mattoon, IL 61938
Phone: 217-258-4051    Fax: 217-258-4063
Kristine Ross Carpenter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2512 Hurst Dr., Mattoon, IL 61938
Phone: 217-258-5900    Fax: 217-258-3686
Dr. Dawn Miesner, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2512 Hurst Dr, Ste 120, Mattoon, IL 61938
Phone: 217-258-5900    Fax: 217-258-5904
Sergio M. Rodriguez, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Health Center Drive, Mattoon, IL 61938
Phone: 217-238-4325    Fax: 217-238-4320

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.