Dr Phani Bodavula, MD in Garland, TX

Dr Phani Bodavula, MD is a medicare enrolled "Pediatrics" physician in Garland, Texas. His current practice location is 6448 Broadway Blvd, Garland, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 216-8500.

Dr Phani Bodavula is licensed to practice in Texas (license number R5085) 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 1700204690.

Contact Information

	Dr Phani Bodavula, MD
	6448 Broadway Blvd, Garland, TX 75043
	(972) 216-8500
	(972) 216-8521

Map and Direction

Physician's Profile

Full Name	Dr Phani Bodavula
Gender	Male
Speciality	Pediatrics
Location	6448 Broadway Blvd, Garland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700204690
Provider Enumeration Date: 03/28/2014
Last Update Date: 09/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7113292566
Enrollment ID: I20171011000489

Medical Identifiers

Medical identifiers for Dr Phani Bodavula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700204690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R5085 (Texas)	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. Dr Phani Bodavula allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Dr Phani Bodavula 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
Dr Phani Bodavula, MD 6448 Broadway Blvd, Garland, TX 75043-5943 Ph: (972) 216-8500	Dr Phani Bodavula, MD 6448 Broadway Blvd, Garland, TX 75043 Ph: (972) 216-8500

Reviews and Comments

Pediatrics Doctors in Garland, TX

Dr. James Trever Rester, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Methodist Family Health Center - Firewheel, 4430 Lavon Drive, Ste 350, Garland, TX 75040 Phone: 972-530-8590 Fax: 972-530-8625
Dr. Lubna Shahid Kamal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5506 Broadway Blvd, Garland, TX 75043 Phone: 972-303-7070 Fax: 972-303-4343
Alexander Grumberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2231 Peggy Ln, Suite 1, Garland, TX 75042 Phone: 972-272-3502 Fax: 972-205-0544
Lewis R. King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 802 Hopkins St, Garland Health Center, Garland, TX 75040 Phone: 214-266-0700 Fax: 214-266-0656
Dr. Donna I. Persaud, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 802 Hopkins St, Garland Health Center, Garland, TX 75040 Phone: 214-266-0700
M. Melinda Uhrich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3232 Broadway Blvd Ste A, Garland, TX 75043 Phone: 972-587-7126
Dr. Ylicia Lachon Richards, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1224 Thomasville, Garland, TX 75044 Phone: 972-414-2883 Fax: 972-414-5683

Dr Phani Bodavula, MD - Medicare Pediatrics in Garland, TX