| Praveen Kanneganti, MD | |
|
34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 | |
| (253) 838-8552 | |
| (253) 272-0149 |
| Full Name | Praveen Kanneganti |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 34612 6th Ave S Ste 300, Federal Way, Washington |
| 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 |
|---|---|---|---|
| 1124382668 | NPI | - | NPPES |
| 2108169 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD60819307 (Washington) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 125.069745 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Community Hospital | Federal way, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1259 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Praveen Kanneganti, MD 34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 Ph: (253) 838-8552 | Praveen Kanneganti, MD 34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 Ph: (253) 838-8552 |
David M Kieras, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 | |
Dr. David Richard Dawson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 32114 1st Ave S, Suite 103, Federal Way, WA 98003 Phone: 253-952-4576 Fax: 253-952-3416 | |
Gaston R Deysine, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 | |
Lawrence Wayne Snow, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 34709 9th Ave S Ste B500, Federal Way, WA 98003 Phone: 253-835-8800 | |
Harrison Lakehomer, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 34612 6th Ave S Ste 300, Federal Way, WA 98003 Phone: 253-838-8552 Fax: 253-874-6089 | |
Dr. Eric Scott Varley, D O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 Fax: 253-874-1637 |