Phani Kishore Molakatalla, MD in Gardner, MA

Phani Kishore Molakatalla, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Gardner, Massachusetts. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Heywood Medical Group Inc. and his current practice location is 250 Green St, Suite 209, Gardner, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 669-5522.

Phani Kishore Molakatalla is licensed to practice in Massachusetts (license number 261931) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861620007.

Contact Information

	Phani Kishore Molakatalla, MD
	250 Green St, Suite 209, Gardner, MA 01440-1396
	(978) 669-5522
	(978) 632-0516

Map and Direction

Physician's Profile

Full Name	Phani Kishore Molakatalla
Gender	Male
Speciality	Gastroenterology
Experience	17 Years
Location	250 Green St, Gardner, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phani Kishore Molakatalla graduated from medical school in 2007

NPI Data:

NPI Number: 1861620007
Provider Enumeration Date: 06/25/2009
Last Update Date: 07/07/2015

Medicare PECOS Information:

PECOS PAC ID: 1658518352
Enrollment ID: I20150820010165

Medical Identifiers

Medical identifiers for Phani Kishore Molakatalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861620007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD447302 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MT194411 (Pennsylvania)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	261931 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heywood Hospital -	Gardner, MA	Hospital
Athol Memorial Hospital	Athol, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Heywood Medical Group Inc.	6901882836	82

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. Phani Kishore Molakatalla allows following entities to bill medicare on his behalf.

Entity Name	Henry Heywood Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360

Entity Name	Heywood Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351

Entity Name	Athol Memorial Hospital Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228

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. Phani Kishore Molakatalla 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
Phani Kishore Molakatalla, MD 250 Green St, Suite 209, Gardner, MA 01440-1396 Ph: (978) 669-5522	Phani Kishore Molakatalla, MD 250 Green St, Suite 209, Gardner, MA 01440-1396 Ph: (978) 669-5522

Reviews and Comments

Internal Medicine Doctors in Gardner, MA

James R. Tierney, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 374 Elm St, Gardner, MA 01440 Phone: 978-632-4941 Fax: 978-630-2064
Ayaz Tariq Malik, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 250 Green St, Ste 212, Gardner, MA 01440 Phone: 978-669-5522 Fax: 978-632-0516
Lauren B Gibbons, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-632-3420
Motkar V. Reddy, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 250 Green St, Gardner, MA 01440 Phone: 978-632-4324 Fax: 978-632-4368
Michael S. Stauder, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 250 Green St, Gardner, MA 01440 Phone: 978-630-5020 Fax: 978-630-5029
Odalys Machin Croteau, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 374 Elm St, Gardner, MA 01440 Phone: 978-630-3400 Fax: 978-630-3408
Benjamin Fakharzadeh, MM Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-630-6235

Phani Kishore Molakatalla, MD - Medicare Gastroenterology in Gardner, MA