| Ramakrishna Thotakura, | |
|
1600 W 40th Ave, Pine Bluff, AR 71603-6301 | |
| (870) 541-8767 | |
| (870) 541-8761 |
| Full Name | Ramakrishna Thotakura |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 19 Years |
| Location | 1600 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 |
|---|---|---|---|
| 1588807994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 004087 (New York) | Secondary |
| 208M00000X | Hospitalist | E-9536 (Arkansas) | Primary |
| 208M00000X | Hospitalist | 004087 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uams Medical Center | Little rock, AR | Hospital |
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Jefferson Hospital Association Inc | 8123927431 | 68 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | Jefferson Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
| Entity Name | Southeast Arkansas Hospitalists Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Ramakrishna Thotakura, 3260 Millersport Hwy Apt 4, Getzville, NY 14068-1479 Ph: (716) 445-9555 | Ramakrishna Thotakura, 1600 W 40th Ave, Pine Bluff, AR 71603-6301 Ph: (870) 541-8767 |
Carla Yvonne Pumphrey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 |