| Pavan Kumar Punukollu, MD | |
|
1 General St, Lawrence, MA 01841-2961 | |
| (978) 683-4000 | |
| Not Available |
| Full Name | Pavan Kumar Punukollu |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 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. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of North Texas Pa | 7911897301 | 341 |
| L And M Radiology Inc | 6305819228 | 20 |
| Millennium Physician Group Llc | 9830244433 | 977 |
| Colonial Family Practice Llc | 9931017118 | 56 |
| Quantum Imaging And Therapeutic Associates Inc | 1355254129 | 88 |
| Penn State Health Medical Group Llc | 8729351077 | 705 |
| Summit Medical Group, Pllc | 2860396330 | 630 |
| Radiology Associates Of North Texas Pa | 7911897301 | 341 |
| Entity Name | L & M Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721985 PECOS PAC ID: 6305819228 Enrollment ID: O20040818000208 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20190227000482 |
| Entity Name | Quantum Imaging & Therapeutic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609863893 PECOS PAC ID: 1355254129 Enrollment ID: O20240815001879 |
| 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 |
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 |