| Rajasekhar Tanikella, MD | |
|
120 Hospital Dr, Lebanon, MO 65536-9238 | |
| (417) 533-6100 | |
| Not Available |
| Full Name | Rajasekhar Tanikella |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 120 Hospital Dr, Lebanon, Missouri |
| 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 |
|---|---|---|---|
| 1134478738 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2014027806 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1693 |
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 566 |
| Entity Name | Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Entity Name | Associated Physicians of Harvard Medical Faculty Physicians at Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952358533 PECOS PAC ID: 6305749987 Enrollment ID: O20130606000720 |
| Entity Name | Associated Physicians of Harvard Medical Faculty Physicians at Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497151773 PECOS PAC ID: 6305749987 Enrollment ID: O20150211001099 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajasekhar Tanikella, MD 120 Hospital Dr, Lebanon, MO 65536-9238 Ph: (417) 533-6100 | Rajasekhar Tanikella, MD 120 Hospital Dr, Lebanon, MO 65536-9238 Ph: (417) 533-6100 |