Pavan Kumar Punukollu, MD in Lawrence, MA - Medicare Diagnostic Radiology

Pavan Kumar Punukollu, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lawrence, Massachusetts. He went to Tufts University School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Millennium Physician Group Llc, Quantum Imaging And Therapeutic Associates Inc, Radiology Associates Of North Texas Pa, Penn State Health Community Medical Group Llc, Penn State Health Community Medical Group Llc, Radiology Associates Of North Texas Pa and his current practice location is 1 General St, Lawrence, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 683-4000.

Pavan Kumar Punukollu is licensed to practice in Massachusetts (license number 269048) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1366402273.

Contact Information

	Pavan Kumar Punukollu, MD
	1 General St, Lawrence, MA 01841-2961
	(978) 683-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Pavan Kumar Punukollu
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	1 General St, Lawrence, Massachusetts
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pavan Kumar Punukollu attended and graduated from Tufts University School Of Medicine in 1992

NPI Data:

NPI Number: 1366402273
Provider Enumeration Date: 03/24/2006
Last Update Date: 10/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1052209376
Enrollment ID: I20170821001115

Medical Identifiers

Medical identifiers for Pavan Kumar Punukollu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366402273	NPI	-	NPPES
000000241778	Other	OH	ANTHEM BCBS
JA839Z	Other		MEDICARE PTAN
11286315	Other		CAQH
110131865A	Medicaid	MA
300132093	Other	OH	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	ME130248 (Florida)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	35.074221 (Ohio)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	269048 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pinnacle Health Hospitals	Harrisburg, PA	Hospital
Holy Spirit Hospital	Camp hill, PA	Hospital
Carlisle Regional Medical Center	Carlisle, PA	Hospital
Upmc Pinnacle Hanover	Hanover, PA	Hospital
Longview Regional Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	866
Quantum Imaging And Therapeutic Associates Inc	1355254129	79
Radiology Associates Of North Texas Pa	7911897301	325
Penn State Health Community Medical Group Llc	8729351077	737
Penn State Health Community Medical Group Llc	8729351077	737
Radiology Associates Of North Texas Pa	7911897301	325

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. Pavan Kumar Punukollu allows following entities to bill medicare on his behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Pavan Kumar Punukollu 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
Pavan Kumar Punukollu, MD 2527 Cranberry Hwy, Wareham, MA 02571-1046 Ph: (800) 841-5200	Pavan Kumar Punukollu, MD 1 General St, Lawrence, MA 01841-2961 Ph: (978) 683-4000

Reviews and Comments

Radiology Doctors in Lawrence, MA

Dr. Lawrence M. Casha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence General Hospital, Lawrence, MA 01841 Phone: 978-946-8103 Fax: 978-946-8067
Dr. Linda M. Salzman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 General St, Radiology Department, Lawrence, MA 01841 Phone: 978-946-8103 Fax: 978-946-8067
Dr. Ronald Howard Garrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-946-8103 Fax: 978-946-8067
Arthur Lathrop Zerbey Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence General Hospital, Lawrence, MA 01842 Phone: 978-683-4000 Fax: 978-946-8067
Dr. Stewart T Hou, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence General Hospital, Lawrence, MA 01841 Phone: 978-946-8103 Fax: 978-946-8067
Dipti Lenhart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence General Hospital, Lawrence, MA 01841 Phone: 978-683-4000
Dr. James William Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-946-8103 Fax: 978-946-8067

Pavan Kumar Punukollu, MD - Medicare Diagnostic Radiology in Lawrence, MA