Mrs Pramoda Kumari Devabhaktuni, MD in Clarksburg, WV

Mrs Pramoda Kumari Devabhaktuni, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Clarksburg, West Virginia. Her current practice location is 1 Medical Center Drive, Louis A. Johnson Va Medical Center Drive, Clarksburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 623-3461.

Mrs Pramoda Kumari Devabhaktuni is licensed to practice in West Virginia (license number 15671) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770542052.

Contact Information

	Mrs Pramoda Kumari Devabhaktuni, MD
	1 Medical Center Drive, Louis A. Johnson Va Medical Center Drive, Clarksburg, WV 26301
	(304) 623-3461
	(304) 623-7650

Map and Direction

Physician's Profile

Full Name	Mrs Pramoda Kumari Devabhaktuni
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	1 Medical Center Drive, Clarksburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770542052
Provider Enumeration Date: 03/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1557509338
Enrollment ID: I20221214002661

Medical Identifiers

Medical identifiers for Mrs Pramoda Kumari Devabhaktuni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770542052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	15671 (West Virginia)	Primary
207RG0300X	Internal Medicine - Geriatric Medicine	10866 (Mississippi)	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. Mrs Pramoda Kumari Devabhaktuni allows following entities to bill medicare on her behalf.

Entity Name	Monongahela Valley Association Of Health Center, Inc.
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1770697278 PECOS PAC ID: 6800991977 Enrollment ID: O20080220000201

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. Mrs Pramoda Kumari Devabhaktuni 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
Mrs Pramoda Kumari Devabhaktuni, MD 18 Woodcliff Dr, Fairmont, WV 26554-1257 Ph: (304) 368-1124	Mrs Pramoda Kumari Devabhaktuni, MD 1 Medical Center Drive, Louis A. Johnson Va Medical Center Drive, Clarksburg, WV 26301 Ph: (304) 623-3461

Reviews and Comments

Internal Medicine Doctors in Clarksburg, WV

Dr. Naveed Ul Haque, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Drive, Clarksburg, WV 26301 Phone: 304-623-3461 Fax: 304-623-7650
Dr. Dionisio Jose Rubi, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1 Med Center Dr, Clarksburg, WV 26301 Phone: 304-623-3461
Jyun Wang, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Clarksburg, WV 26301 Phone: 304-623-3461
Dr. Raj Abraham, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr., Clarksburg, WV 26301 Phone: 304-623-3461 Fax: 304-626-7036
Dr. Lora Lynn Westfall, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Drive, Clarksburg, WV 26301 Phone: 304-623-7678
George William Shehl Jr., M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1 Med Center Dr, Clarksburg, WV 26301 Phone: 304-623-7682 Fax: 304-623-7650
Dr. Atiya M. Lateef, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Hospital Plz, Clarksburg, WV 26301 Phone: 304-623-1330 Fax: 304-623-1333

Mrs Pramoda Kumari Devabhaktuni, MD - Medicare Internal Medicine in Clarksburg, WV