| Pavana Naga Gopi Krishna Tirumanisetti, MD | |
|
1601 W 40th Ave, Pine Bluff, AR 71603-6069 | |
| (870) 541-6000 | |
| (870) 541-6009 |
| Full Name | Pavana Naga Gopi Krishna Tirumanisetti |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1601 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083920086 | NPI | - | NPPES |
| 2118013 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 206188 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | 206188 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | E-13165 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Ashley County Medical Center | Crossett, AR | Hospital |
| Uams Medical Center | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Emergency Staffing Solutions Inc | 3274681341 | 17 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Ess Hospitalist Llc | 6103085295 | 21 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144120 PECOS PAC ID: 4082528955 Enrollment ID: O20040709000013 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Pavana Naga Gopi Krishna Tirumanisetti, MD 4021 W 8th St, Little Rock, AR 72204-2029 Ph: (501) 686-5021 | Pavana Naga Gopi Krishna Tirumanisetti, MD 1601 W 40th Ave, Pine Bluff, AR 71603-6069 Ph: (870) 541-6000 |
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516 | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594 | |
Dr. Sree Chellappan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010 | |
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 |