Mr Kishan Mark Thadikonda, MD in Pittsburgh, PA

Mr Kishan Mark Thadikonda, MD is a medicare enrolled "Plastic Surgery" physician in Pittsburgh, Pennsylvania. His current practice location is 320 E North Ave Ste 401, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 359-4352.

Mr Kishan Mark Thadikonda is licensed to practice in Pennsylvania (license number MD480485) 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 1366977175.

Contact Information

	Mr Kishan Mark Thadikonda, MD
	320 E North Ave Ste 401, Pittsburgh, PA 15212-4756
	(412) 359-4352
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Kishan Mark Thadikonda
Gender	Male
Speciality	Plastic Surgery
Location	320 E North Ave Ste 401, Pittsburgh, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366977175
Provider Enumeration Date: 04/30/2017
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1951671940
Enrollment ID: I20231212000030

Medical Identifiers

Medical identifiers for Mr Kishan Mark Thadikonda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366977175	NPI	-	NPPES
16127341	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	MD480485 (Pennsylvania)	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. Mr Kishan Mark Thadikonda allows following entities to bill medicare on his behalf.

Entity Name	Lancaster General Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916

Entity Name	Allegheny Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602

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. Mr Kishan Mark Thadikonda 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
Mr Kishan Mark Thadikonda, MD 320 E North Ave Ste 401, Pittsburgh, PA 15212-4756 Ph: (412) 359-4352	Mr Kishan Mark Thadikonda, MD 320 E North Ave Ste 401, Pittsburgh, PA 15212-4756 Ph: (412) 359-4352

Reviews and Comments

Plastic Surgery Doctors in Pittsburgh, PA

Damon Mcintire, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3380 Boulevard Of The Allies Ste 158, Pittsburgh, PA 15213 Phone: 412-641-3960
Oluseyi Aliu, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 E North Ave Ste 401, Pittsburgh, PA 15212 Phone: 412-359-4352
Ryan Taylor Marshall Mitchell, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 Terrace St, Scaife Hall Ste 6b, Pittsburgh, PA 15213 Phone: 412-647-3087
Dr. Justine Kim, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213 Phone: 412-647-6340
Robert H Kang, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4815 Liberty Ave Ste 425, Pittsburgh, PA 15224 Phone: 412-578-1849 Fax: 412-578-0259
Dr. Michael J Marallo, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: Upmc Department Of Plastic Surgery, 200 Lothrop St., Pittsburgh, PA 15213 Phone: 412-647-8762
Michael J White, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 E North Ave Ste 401, Pittsburgh, PA 15212 Phone: 412-359-4352 Fax: 412-359-8285

Mr Kishan Mark Thadikonda, MD - Medicare Plastic Surgery in Pittsburgh, PA