Lavanya Boddu, MD in Coppell, TX - Medicare Family Practice

Lavanya Boddu, MD is a medicare enrolled "Emergency Medicine" physician in Coppell, Texas. She graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice City Medical Of Upper East Side Pllc, Texas Medicine Resources, Llp, Frisco Emergency Medicine Associates Pa, Cep America-illinois Hospitalists, Llp, Legacy Urgent Care Pa and her current practice location is 330 S Denton Tap Rd, Coppell, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 312-7777.

Lavanya Boddu is licensed to practice in Texas (license number T9644) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1851503833.

Contact Information

	Lavanya Boddu, MD
	330 S Denton Tap Rd, Coppell, TX 75019-3207
	(469) 312-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Lavanya Boddu
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	330 S Denton Tap Rd, Coppell, Texas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lavanya Boddu graduated from medical school in 2000

NPI Data:

NPI Number: 1851503833
Provider Enumeration Date: 05/04/2007
Last Update Date: 05/08/2026

Medicare PECOS Information:

PECOS PAC ID: 4486712866
Enrollment ID: I20191217001950

Medical Identifiers

Medical identifiers for Lavanya Boddu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851503833	NPI	-	NPPES
036121313	Other	IL	BLUE SHIELD
036121313-1	Medicaid	IL
T9644	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	T9644 (Texas)	Primary
207P00000X	Emergency Medicine	036-121313 (Illinois)	Secondary
207Q00000X	Family Medicine	036121313 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Johns Hospital	Springfield, IL	Hospital
Methodist Southlake Hospital	Southlake, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Medical Of Upper East Side Pllc	0648465039	669
Texas Medicine Resources, Llp	5890688212	245
Frisco Emergency Medicine Associates Pa	8921594300	24
Cep America-illinois Hospitalists, Llp	3274765904	194
Legacy Urgent Care Pa	3072679828	158

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 Name	City Medical Of Upper East Side Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124392238 PECOS PAC ID: 1850514258 Enrollment ID: O20140603000259

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679083984 PECOS PAC ID: 6103251491 Enrollment ID: O20200114002920

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 Address	Practice Location Address
Lavanya Boddu, MD 330 S Denton Tap Rd, Coppell, TX 75019-3207 Ph: (469) 312-7777	Lavanya Boddu, MD 330 S Denton Tap Rd, Coppell, TX 75019-3207 Ph: (469) 312-7777

Reviews and Comments

Emergency Medicine Doctors in Coppell, TX

Sean Nelson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 N Denton Tap Rd, Coppell, TX 75019 Phone: 469-312-3080 Fax: 281-209-8930
Dr. Harvey 1 Castro, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 720 N Denton Tap Rd, Coppell, TX 75019 Phone: 469-649-7006 Fax: 469-649-7009
Melissa Mcclure-davis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 651 N Denton Tap Rd, Suite 100, Coppell, TX 75019 Phone: 972-899-7000
Sherilyne J. King, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019 Phone: 469-417-7565
Dr. Rajesh Patel, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3371 Scotch Creek Rd, Coppell, TX 75019 Phone: 817-707-9176
Jamie A Plubell, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 330 S Denton Tap Rd, Coppell, TX 75019 Phone: 469-312-7777

Lavanya Boddu, MD - Medicare Family Practice in Coppell, TX