Mr Venkata Moparthi, MD is a medicare enrolled "Internal Medicine" physician in Clifton, Illinois. His current practice location is
335 E Sixth St, Clifton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 936-5167.
Mr Venkata Moparthi is licensed to practice in Illinois (license number ) 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 1699797548.
Physician's Profile
| Full Name | Mr Venkata Moparthi |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 335 E Sixth St, Clifton, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699797548
- Provider Enumeration Date: 07/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315903440
- Enrollment ID: I20041209000545
Medical Identifiers
Medical identifiers for Mr Venkata Moparthi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699797548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | (Illinois) | 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 Venkata Moparthi allows following entities to bill medicare on his behalf.
| Entity Name | Presence Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
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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 Venkata Moparthi 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 Venkata Moparthi, MD 9223 W St Francis Road, Frankfort, IL 60423 Ph: (815) 806-3111 | Mr Venkata Moparthi, MD 335 E Sixth St, Clifton, IL 60927 Ph: (815) 936-5167 |
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