Mallikarjun Kamishetti, MD in Suffolk, VA - Medicare Internal Medicine

Mallikarjun Kamishetti, MD is a medicare enrolled "Internal Medicine" physician in Suffolk, Virginia. His current practice location is 114 N Main St Ste 200, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 983-8600.

Mallikarjun Kamishetti is licensed to practice in Kentucky (license number 39952) 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 1982645297.

Contact Information

	Mallikarjun Kamishetti, MD
	114 N Main St Ste 200, Suffolk, VA 23434-4564
	(757) 983-8600
	Not Available

Map and Direction

Physician's Profile

Full Name	Mallikarjun Kamishetti
Gender	Male
Speciality	Internal Medicine
Location	114 N Main St Ste 200, Suffolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982645297
Provider Enumeration Date: 06/09/2006
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 4981601325
Enrollment ID: I20250424000188

Medical Identifiers

Medical identifiers for Mallikarjun Kamishetti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982645297	NPI	-	NPPES
64129414	Medicaid	KY
000000559181	Other	KY	ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	39952 (Kentucky)	Primary
208M00000X	Hospitalist	39952 (Kentucky)	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. Mallikarjun Kamishetti allows following entities to bill medicare on his behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

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. Mallikarjun Kamishetti 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
Mallikarjun Kamishetti, MD Po Box 55, Hopkinsville, KY 42241-0055 Ph: (270) 887-0100	Mallikarjun Kamishetti, MD 114 N Main St Ste 200, Suffolk, VA 23434-4564 Ph: (757) 983-8600

Reviews and Comments

Internal Medicine Doctors in Suffolk, VA

Dr. James J Stark, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872
Dr. Harish V Iyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203
Mrs. Zia Ann Khould, CNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200
Dr. Thomas Vincent Whelan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561
Dr. Demetria Yvette Austin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541
Hussein Mohamed Aboulatta, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564
Dr. Michael T Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660

Mallikarjun Kamishetti, MD - Medicare Internal Medicine in Suffolk, VA